11 February 2017 Last updated at 13:47 GMT
An Egyptian woman, believed to be the world’s heaviest woman at 500kg (78 and a half stone), has arrived in Mumbai, India, for weight reduction surgery.
The family of 36-year-old Eman Ahmed Abd El Aty said it was the first time she had left home for 25 years.
Eman Ahmed Abd El Aty, 36, will be flown on a chartered plane to Mumbai where bariatric surgeon Dr Muffazal Lakdawala plans to operate.
The Indian embassy in Cairo initially denied her visa request as she was unable to travel there in person.
After the surgeon tweeted to India’s foreign minister that changed.
India’s External Affairs Minister Sushma Swaraj, who is herself in hospital awaiting a kidney transplant, was quick to respond with an offer of help.
Ms Abd El Aty’s family says she hasn’t been able to leave home for 25 years now and claims she weighs 500kg.
If the claim about her weight is true, then that would make her the world’s heaviest woman alive as the current Guinness record holder is Pauline Potter of the United States who weighed 292kg (643lb) in 2010.
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Dr Lakdawala, who has performed weight reduction surgeries on Indian minister Nitin Gadkari and Venkaiah Naidu, told the BBC that from looking at Ms Abd El Aty’s medical reports and photographs, he believes that she weighs at least 450kg.
Ms Abd El Aty’s family says she weighed 5kg (11lb) at birth and was diagnosed with elephantiasis, a condition in which a limb or other body parts swell due to a parasitic infection, Dr Lakdawala told the BBC in a phone call from Mumbai.
“They said when she was 11, she had gained immense weight because of which she could not stand up and would crawl.
“And then she suffered a stroke which left her bedridden and she has not been able to leave home since then.”
Ms Abd El Aty is cared for by her mother and sister.
Dr Lakdawala said Ms Abd El Aty’s sister got in touch with him in October and he began raising money to bring her over to Mumbai as her family was too poor and unable to bear the costs of chartering a flight.
“We are expecting to fly her to Mumbai next week as soon as the formalities are over,” he said.
Dr Lakdawala believes that Ms Abd El Aty does not have elephantiasis, but suffers from obesity-related lymphoedema which causes gigantic swelling of legs.
“She would need to remain in Mumbai for two to three months for the surgery and treatment after which she would be able to return home, but it would take two to three years to bring her body weight under 100kg,” the surgeon said.
“I’m hopeful that I will be able to help her, I won’t say I’m confident because I think that would be an exaggeration,” he added.
What is bariatric surgery?
Bariatric surgery, also known as weight loss surgery, is used as a last resort to treat people who are dangerously obese and carrying an excessive amount of body fat.
In the UK, this type of surgery is available on the NHS only to treat people with potentially life-threatening obesity when other treatments have not worked.
Around 8,000 people a year in the UK currently receive the treatment.
The two most common types of weight loss surgery are:
- Gastric band, where a band is used to reduce the size of the stomach so a smaller amount of food is required to make someone feel full
- Gastric bypass, where the digestive system is re-routed past most of the stomach so less food is digested to make someone feel full