Obesity Management Program
Obesity Management Program in Noida – Medical & Endoscopic Weight Care at Fortis Hospital
Obesity is not a willpower problem. It is a complex medical condition — and for most patients who have tried dieting repeatedly without lasting results, the reason is not discipline. It is biology.
More importantly, obesity does not work in isolation. It directly drives some of the most common digestive and liver conditions seen in gastroenterology clinics — fatty liver, GERD, gallstone disease, and metabolic syndrome. Treating the weight without treating the organ damage, or treating the organ damage without addressing the weight, gives incomplete results.
Dr. Sushrut Singh’s Obesity Management Program at Fortis Hospital, Noida takes a gastroenterologist-led approach — addressing weight and its digestive consequences together, with a clear plan built around your specific medical profile.
Why a Gastroenterologist for Obesity?
Most patients with obesity are managed by general physicians or dieticians. That works well when obesity is uncomplicated. But if you have any of the following, a gastroenterologist is the right specialist:
Fatty liver (NAFLD/NASH)
Present in 60–75% of obese patients. It can silently progress to fibrosis and cirrhosis without any noticeable symptoms.
GERD & Chronic Acid Reflux
Excess abdominal fat increases pressure on the stomach, worsening acid reflux and related complications significantly.
Type 2 Diabetes
Directly linked to liver fat accumulation and overall metabolic dysfunction within the body.
Gallstone Disease
Obesity is one of the strongest and most common risk factors for gallstone formation.
Elevated Liver Enzymes (SGPT/SGOT)
Often the very first clinical sign of obesity-related liver damage or stress.
Metabolic Syndrome
The dangerous combination of high blood sugar, high triglycerides, central obesity, and hypertension that significantly raises cardiovascular and liver risk.
What the Obesity Management Program Includes
Full Medical Assessment
Every patient starts with a structured evaluation before any treatment is recommended:
- FibroScan — to assess liver fat content and fibrosis stage. Many obese patients are unaware their liver is already damaged.
- Metabolic blood panel — blood glucose, HbA1c, insulin levels, lipid profile, liver enzymes (SGPT, SGOT, GGT), thyroid function.
- BMI, waist circumference, and body composition assessment.
- Screening for obesity-related complications — sleep apnoea, joint damage, blood pressure, cardiovascular risk.
- Review of previous weight loss attempts — what was tried, what worked partially, what did not.
This assessment gives Dr. Sushrut a complete picture of where your weight is causing medical harm — and what level of intervention is appropriate for your specific case.
→ Learn more about FibroScan for Liver AssessmentStructured Lifestyle & Nutritional Guidance
Sustainable weight management requires real-world dietary and behavioural change — not crash diets. The program includes:
- Personalised dietary guidance aligned with your metabolic profile, digestive health, and food preferences.
- Physical activity recommendations suited to your current fitness level and any existing joint, cardiac, or metabolic conditions.
- Strategies to address eating patterns and long-term habit formation — not just calorie counting.
- Regular follow-up to track progress, adjust the plan, and provide clinical accountability.
Endoscopic Weight Loss Procedures (Where Needed)
For patients where lifestyle changes alone are not sufficient — or where obesity-related organ damage requires faster weight reduction — Dr. Sushrut offers two non-surgical endoscopic options:
🎈 Intragastric Balloon (IGB)
A soft, saline-filled balloon is placed inside the stomach through the mouth using an endoscope. It takes up space in the stomach, creating fullness with smaller meals. The balloon stays in place for 6 months and is removed endoscopically. No surgery. No incisions. Most patients go home the same day.
🧵 Endoscopic Sleeve Gastroplasty (ESG)
A more durable procedure — the stomach is reshaped into a smaller sleeve using sutures placed through the endoscope. Stomach volume is reduced by approximately 70–75%, permanently limiting food intake without any surgical cuts or removal of stomach tissue.
Who Is This Program For?
Obesity and Fatty Liver — The Connection Most Patients Miss
One of the most important things Dr. Sushrut addresses in this program is the link between excess weight and liver health.
Fatty liver disease (NAFLD) develops when fat accumulates in the liver — and in obese patients, this happens silently. There are often no symptoms in the early stages. Most patients only find out from a routine ultrasound or when liver enzymes come back elevated on a blood test. Left untreated, fatty liver progresses:
Simple Fatty Liver (Steatosis)
Fully ReversibleFat in the liver, no inflammation. Fully reversible with targeted weight loss.
NASH (Non-Alcoholic Steatohepatitis)
ReversibleFat combined with inflammation. Still reversible with the right medical treatment and lifestyle changes.
Fibrosis
Partially ReversibleScarring begins in the liver tissue. Can be partially reversed if caught and treated at this stage.
Cirrhosis
IrreversiblePermanent, severe scarring. Not reversible — medical management focuses entirely on preventing further complications.
What to Expect at Your First Appointment
Detailed Consultation
A comprehensive discussion with Dr. Sushrut covering your weight history, current symptoms, and any digestive or liver concerns.
Structured Investigation
A targeted investigation plan is laid out — which may include a FibroScan, metabolic blood tests, and relevant imaging as needed.
Clear Diagnosis
An accurate and clear diagnosis of any associated liver or digestive conditions contributing to or resulting from your weight.
Personalised Roadmap
A custom treatment roadmap is created. Lifestyle, medical, and endoscopic options are explained clearly to you, with absolutely no pressure.
Ongoing Support
A structured follow-up schedule is established to provide regular monitoring and to adjust your plan based on your real-world progress.
Frequently Asked Questions
If your obesity is linked to fatty liver, GERD, gallstone disease, elevated liver enzymes, or metabolic syndrome — a gastroenterologist can address the weight and the organ damage simultaneously. Dr. Sushrut’s program is specifically designed for patients where obesity and digestive or liver health are directly connected.
Yes — and repeated failed dieting is actually a clinical indicator that lifestyle changes alone may not be sufficient. This is one of the main reasons bariatric endoscopy exists. Dr. Sushrut will assess whether an endoscopic procedure or medical support is the right addition to your weight management plan.
Yes in early to moderate stages (F0 to F2 on FibroScan), fatty liver can be fully reversed with significant, sustained weight loss. Losing 7–10% of body weight reduces liver fat meaningfully. Losing 10% or more can reverse NASH (liver inflammation). This is why medically supervised weight management matters — the liver outcomes are significant.
Both the Intragastric Balloon and ESG have well-established safety profiles when performed by a trained endoscopist. The most common side effect of the balloon is nausea and cramping in the first few days, which is managed with medication. Dr. Sushrut will discuss your individual risk profile in detail during the pre-procedure consultation.
The balloon is temporary — it stays in the stomach for 6 months and is then removed. It is suited for patients with BMI 27–40 who want a less invasive first step. ESG is permanent — the stomach is surgically reshaped from inside using sutures, and the results last long-term. It is suited for patients with BMI 30 and above who want more durable weight loss without surgery.
Medical consultation and investigations (FibroScan, blood tests) at Fortis Hospital are covered by most insurance plans. Bariatric endoscopy procedures may or may not be covered depending on your insurer and policy. The clinic team will help you check your coverage before any procedure is planned.