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Bariatric Surgery and Its Long-term Benefits: A Conversation with Dr. Manish Khaitan on Diabetes Remission and Beyond
As India confronts the rising tide of obesity-related health issues, bariatric surgery is emerging as an essential solution for patients struggling with weight and related health issues. Dr. Manish Khaitan, Chief Bariatric & Metabolic Surgeon at NObesity Bariatric Surgery Centre in Ahmedabad, has performed over 8,000 surgeries and is a leading advocate for the long-term benefits of bariatric surgery, particularly in diabetes remission and improving overall metabolic health.
In a recent conversation, Dr. Khaitan shared his insights into how bariatric surgery offers much more than just weight loss. His extensive work in bariatric care is transforming lives, not only through weight loss but also by offering a solution to many other metabolic health challenges. Dr. Khaitan has demonstrated through research and practice how bariatric surgery has the potential to significantly improve insulin sensitivity and, in many cases, reverse type 2 diabetes.
Dr. Khaitan's research has been a key contribution to understanding the broader health benefits of bariatric surgery, especially in the context of India. His study, 'Evaluation of the Effects of Bariatric Surgery in Terms of Weight Loss and Diabetes Remission in the Indian Population' (2021), demonstrated that bariatric surgery could lead to significant improvements in blood glucose levels and the reduction or complete cessation of diabetes medication for many patients. This publication has played a significant role in reshaping medical views about bariatric surgery as a metabolic intervention, not just a weight-loss tool.
The link between obesity and diabetes is well-established, and with India now home to one of the highest populations of people affected by type 2 diabetes, the importance of bariatric surgery cannot be overstated. Dr. Khaitan explains, 'Obesity is a chronic disease, and bariatric surgery can be a life-saving intervention that helps patients manage comorbidities like diabetes, hypertension, and heart disease.' His work in this area emphasizes the long-term health improvements that surgery offers, particularly in reducing the risk of chronic diseases.
For many patients, bariatric surgery doesn't just improve weight—it also transforms metabolic health. A recent patient, for example, had struggled with obesity and type 2 diabetes for years. After undergoing bariatric surgery, the patient was able to reduce their insulin dependency significantly, and within months, was able to completely discontinue diabetes medication. Dr. Khaitan has seen this result in many patients, illustrating how bariatric surgery leads to more than just weight loss—it helps restore the body's ability to process food and manage glucose levels.
In addition to his clinical expertise, Dr. Khaitan has made significant contributions to research in the field of bariatric surgery. His published work includes studies on the long-term benefits of bariatric surgery, including 'Effect of COVID-19 Pandemic on Global Bariatric Surgery Practices' (2021), which explored how the pandemic disrupted bariatric surgeries worldwide. This research has highlighted the challenges that patients faced during the lockdowns and the adoption of telemedicine as an alternative for post-surgery follow-up care.
Another key study that Dr. Khaitan contributed to, 'Bariatric Surgery in Immunocompromised Patients: Outcomes from One Year Follow-up' (2018), investigated how bariatric surgery can be safely performed in patients with weakened immune systems. The study found that bariatric surgery, when carefully managed, can offer substantial health benefits even for immunocompromised patients.
Dr. Khaitan's work is not limited to research; he has been a leading figure in medical education and surgical training. As a key figure in the Obesity Surgery Society of India (OSSI), he has played a pivotal role in educating surgeons on the latest techniques and expanding access to bariatric care across the country. With over 150 surgeons trained under his mentorship, Dr. Khaitan is helping to build a strong community of bariatric surgeons who can address the growing demand for this life-saving surgery.
The increasing need for bariatric surgery in India is having a major impact on the country's healthcare infrastructure. As more patients seek treatment for obesity and metabolic diseases, hospitals and clinics are adapting to provide these services. Dr. Khaitan is at the forefront of this change, ensuring that bariatric surgery is integrated into India's broader healthcare framework. His work has helped reduce the burden of chronic diseases by providing patients with effective long-term solutions, ultimately alleviating pressure on the healthcare system.
Looking forward, Dr. Khaitan is optimistic about the future of bariatric surgery in India. He points to the increasing role of robotics in the field and personalized treatment plans based on patient profiles. 'The future lies in making bariatric surgery more accessible, affordable, and effective,' he says. 'With technological advancements and better education, we are moving toward a future where bariatric surgery will be a key component in managing obesity and metabolic diseases.'
Dr. Khaitan's leadership, both in clinical practice and in the broader medical community, continues to guide the future of bariatric care in India. Through his contributions to research, education, and patient care, he remains dedicated to transforming how obesity and metabolic diseases are treated in the country. As India's healthcare needs evolve, Dr. Khaitan is helping set the standard for bariatric surgery, ensuring that patients can lead healthier lives with the support of innovative and evidence-based treatment.
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