Choosing bariatric surgery

Indications for surgical treatment of morbid obesity is considered to be a body mass index of 40 kg/m2 or more on the background of at least five years of the disease , as well as with lower ( but not less than 35 kg/m2) , but subject to the availability of severe concomitant diseases associated with overweight .

If the body mass index less than 35 kg/m2 surgery is not indicated. In these cases, the patients are conservatively using a diet and drugs , and if necessary, make the installation of intragastric balloons to reduce the free volume of the stomach.

Surgical treatment is carried out by the testimony of patients aged 15 to 65 years.

If a patient has a body mass index greater than 40 kg/m2 figure , you can perform almost any modern laparoscopic bariatric operations.

Body mass index above 50 kg/m2 shown gastric bypass , because basically , this operation is more effective than banding . Besides, it gives the best results with the least likelihood of unwanted long-term effects . However, it should be borne in mind that because of the intersection of the stomach and forming of the anastomosis during bypass surgery risk increases significantly as compared with the superimposed rings . In this regard, such as the operation would sometimes split into two phases, the first performing gastroplasty , and only then , after a fairly significant reduction in body weight by cutting off a certain part of the digestive process . Often , however, if this is enough , limited to only the first step and is carried as an independent tubular gastrectomy surgery.

In deciding , the doctor individually suited to the choice of method of treating a patient with obesity.