Gastric Banding

Qualifying for bariatric surgery

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Knowing if you meet medical guidelines for surgery is an early step in your bariatric surgery decision-making process.

The guidelines for bariatric surgery are brief and fairly simple. Surgeons use the guidelines established by the National Institutes of Health (NIH) when considering treatment options for patients. Keep in mind that these are only guidelines. An experienced surgeon or other healthcare professional will evaluate each patient using a larger set of criteria.

NIH Guidelines for Recommending Bariatric Surgery

Patients should have:

  • 100 pounds or more of excess weight; or a BMI of 40 or greater.
  • A BMI of 35 or greater with one or more co-morbid condition.

Other Common Guidelines

Surgeons and health insurance companies often have their own additional guidelines for recommending or covering bariatric surgery.

The most common guidelines are:

  • Understanding the risks of bariatric surgery.
  • Committing to dietary and other lifestyle changes as recommended by the surgeon.
  • Having a history of weight loss treatments having failed the patient.
  • Undergoing a complete examination including medical tests.

As with any surgery, there are possible complications and risks that are important to know and understand.

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Obesity-Related Health Conditions

Morbid obesity can lead to a shorter lifespan and many life-threatening health problems, known as co-morbid conditions. These conditions are very serious, and many of them take years to exhibit symptoms. For example, a co-morbid condition such as type 2 diabetes may be damaging your kidneys, but you most likely would not know that you have type 2 diabetes.

Some common co-morbid conditions:

  • Type 2 diabetes
  • Heart disease
  • High blood pressure
  • High cholesterol
  • Obstructive sleep apnea
  • Acid reflux/GERD
  • Cancer
  • Depression
  • Osteoarthritis and joint pain
  • Stress urinary incontinence
  • Female reproductive health disorder