Bariatric surgery is a method of treatment of 3rd degree obesity, commonly called giant obesity. If your BMI (Body Mass Index), or body mass index, is 40 or more and the diets used have not produced any results, ask your primary care physician (family doctor, internist) for a bariatric surgery. In Poland, several types of bariatric procedures are performed. The most common is sleeve gastrectomy (sleeve). Other bariatric operations include gastric by-pass and gastric by-pass, as well as an adjustable gastric band. 

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The right BMI is not the only condition you have to meet to qualify for bariatric surgery. We suggest what are the indications and contraindications for surgery to treat obesity. 

Condition 1

BMI – body mass index

And with people with a BMI 60+ index? 

If you are ill with obesity so-called extremely huge, that is, your BMI is equal to or greater than 60, for your safety, the surgeon can suggest you a two-stage surgical treatment. The first one will be to set up a stomach balloon for a certain period of time, which will help you lose weight to a certain, safe weight. The second stage of surgical treatment will be the implementation of the main bariatric surgery. 

Condition 2

If you have lost much weight after conservative or pharmacological treatment of overweight and obesity, then you have gained weight again. 

Conservative treatment is treatment with diets and physical activity. You will be qualified for surgery if you have repeatedly attempted to lose weight but have not produced significant results. If you manage to reduce your weight right before surgery, you will still be able to give it up. It is a signal for the surgeon that you are ready to follow the post-operative recommendations and change the lifestyle after the procedure. 

Condition 3

If you are more than 18 and less than 60 years old. 

In people with obesity outside this age range, the decision on admission to a bariatric surgery is made individually, taking into account the benefits for the patient resulting from the procedure and the risk of complications. In Poland, as in the world, bariatric operations in teenagers are already performed. 

Condition 4

If you accept the need to comply with pre- and post-operative recommendations and periodic checks. 

It may happen that you meet the main eligibility conditions for bariatric surgery, but the surgeon will refuse to perform this surgery. Why? For what reasons a bariatric surgeon may refuse a bariatric surgery? 

Reason 1

If in your history of treatment of overweight and obesity, you have not attempted conservative treatment, that is, slimming down with proper diet and physical activity.

Or when you did not have such attempts enough and in too short a time to determine their longer effects. 

Reason 2

If you do not agree to the conditions of preparation for surgery, being under the surgeon’s control after surgery and taking part in long-term post-operative follow-up. 

When deciding on bariatric treatment, you must be aware that this is a very serious operation. It is only the beginning of the treatment of obesity. After bariatric surgery you have to take care of your altered digestive system. Use the diet appropriate for your type of surgery and be physically active. In this way, the surgery will help you control your obesity. 

Reason 3

If you suffer from serious mental illness (e.g. schizophrenia), personality disorders or appetite disorders, which result in obesity. 

But it also happens that surgical treatment of obesity in a patient is taken at the request of his psychiatrist. And what about depression? If you have episodes of depression, you can undergo a bariatric surgery. In this situation, the bariatric surgeon sets up with your psychologist and psychiatrist a plan of procedure before and after surgery – lifestyle, taking medicine, etc. 

Reason 4

If you are addicted to alcohol, drugs and psychoactive substances. 

If you are addicted to nicotine, you will have to stop smoking completely for two months before the surgery. 

All of the above-mentioned substances can cause serious anesthetic complications during surgery and awakening anesthesia, as well as surgical and systemic, which will prevent proper surgery and recovery after surgery. 

Reason 5 

If you have a life-threatening disease, e.g. cancer or cardiovascular disease. 

Reason 6

If due to obesity or other illnesses you are not able to function independently and you do not get help from loved ones or social care in the most difficult times, that is during your stay in the hospital and right after surgery. 

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You can read also: BMI – should we really care?

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