Who can undergo obesity surgery?
We need to pay attention to a number of criteria in patients for whom we will perform obesity surgery. The most important among these criteria is body mass index (BMI). BMI is a value formed by dividing our body weight (kg) by the square of our height in meters. If this value is above 30, obesity is mentioned.
Obesity is considered in 3 main groups: body mass index 30-35, 35-40 and over 40. If BMI is >40, there is morbid obesity, that is, morbid obesity, and it must be treated directly with surgery. If BMI is between 35-40, it is important whether there is a co-morbidity or not. These comorbidities are type 2 diabetes, hypertension, high cholesterol, high triglyceride, low HDL-good cholesterol, sleep apnea syndrome, fatty liver disease (NASH), asthma, reflux disease, venous stasis disease, urinary incontinence, and joint deformities secondary to weight. .
Who cannot undergo obesity surgery?
The age criterion is not a definite obstacle today and is decided as a result of an individual evaluation. Obesity surgery is not performed for some hormone disorders, such as Cushing’s disease, hypothyroidism and insulinoma.
Obesity surgery is not performed for some psychiatric diseases. These are bulimia-eating and vomiting disease, depression and schizophrenia.
If there is alcohol and substance addiction, if there is a serious coagulation disorder, if there is a heart disease that prevents anesthesia, if one cannot adapt to vitamins and diet throughout life, if there is cancer, in those who are pregnant or planning to become pregnant within a year, in those who have portal hypertension, severe reflux disease, Crohn’s disease (in bypass surgery). Obesity surgery is not performed in cases of risk of intestinal anastomotic leakage.
