OBESITY SURGERY

Posted on by

Who is the perfect candidate for this Surgery?

According to international criteria, people eligible for bariatric surgery are patients with a specific body mass index who are unlikely to lose weight independently.

Prime attempts at obesity surgery (bariatric surgery) started in the 1800s with the idea of suturing patients’ lips.

Modern bariatric surgery was first made public in 1954 by Kremen in a new attempt to tie off the intestines. The gastric bypass method was developed in 1967. The biliopancreatic diversion technique was described in 1978.

In the 1970s, bariatric surgery was welcomed by the United States, recognizing the enormity of the threat obesity posed to the country.

In 1991, the National Institutes of Health (NIH) held a consensus meeting on who should undergo bariatric surgery. These criteria were revised in 2001 and finalized at the most recent IFSO meeting in August 2016.

Criteria to be considered here are to save the patient with comorbidities likely to be life-threatening in the long term and who has a very low probability of losing weight before the disease becomes irreversible.

OBESITY SURGERY CRITERIA

18-65 years of age

BMI:

> 40

> 35 + Obesity-related concomitant disease (e.g., hypertension, fatty liver…)

> 30 + Diabetes (requiring treatment)

Has tried other weight loss methods but was unsuccessful

Being obese for at least five years

Hormonal diseases that cause obesity

Alcohol, drugs, and other addictions

Understanding the method to be applied and being able to adapt after surgery

Accept the risks of the surgery.

OBESITY SURGERY CONTRAINDICATIONS

The patient’s general health status is evaluated in the examinations after the patient’s application, and blood analysis, ultrasonography, endoscopy, ECG, ECO, pulmonary function test, Chest Diseases consultation, Cardiology consultation, and Psychiatry consultation are performed. Making these assessments is vital for the patient’s health. Bariatric surgery crit, in some cases, we do not recommend that the patient undergo surgery. We divide the situations that prevent the surgery from being executed. The first cases where the surgery should not be done; the second will only be run if the current situation is adjusted. The most critical group here is patients with temporary criteria because the risk of complications is higher in these patients compared to routine surgeries.

Op. Dr. Baris Demiriz