Obesity Surgery: Who Is It Suitable For?

Obesity should not only be seen as an aesthetic problem today. It can lead to many serious health issues such as heart diseases, type 2 diabetes, hypertension, and sleep apnea, which not only decrease the quality of life but can also adversely affect life expectancy. In cases where the desired weight loss cannot be achieved despite diet, exercise, and lifestyle changes, bariatric surgery comes into play. However, this surgery may not be suitable for every patient. So, who is suitable for bariatric surgery?

General Criteria for Bariatric Surgery

Patients considering bariatric surgery must first meet certain health criteria. The general criteria determined by the World Health Organization and international surgical associations are as follows:

• Those with a Body Mass Index (BMI) of 40 and above:
  Individuals with a BMI of 40 and above are considered to fall into the category of severe obesity and may be candidates for surgery, even if they do not have any additional diseases.
  

• Those with a BMI between 35-39.9 who are experiencing obesity-related health problems:
  If your BMI is in this range and you have health issues such as type 2 diabetes, hypertension, sleep apnea, joint problems, or heart disease, surgery may be recommended.
  

• Those who cannot lose sufficient weight through methods such as diet and exercise:
  Surgery is not the primary solution; it is a treatment option that comes into play when other methods fail.
  

• Those who can comply with lifestyle changes after surgery:
  For the results obtained from surgery to be permanent, the patient must be willing to change their dietary and exercise habits.

Pre-Surgery Evaluation Process

Eligibility for bariatric surgery is not determined solely by the BMI value. Each patient goes through the following detailed evaluation process:

• Review of medical history and existing diseases
  

• Evaluation of health status through laboratory tests and imaging methods
  

• Psychological counseling and nutrition education
  

• Assessment of capacity to comply with the post-surgery process

In this process, the aim is for the patient to be physically and psychologically prepared for surgery.

Who Is Not Suitable for Bariatric Surgery?

Although bariatric surgery offers a solution to many people, in some cases, surgery may not be a suitable option:

• Those with uncontrolled psychiatric disorders
  
  

• Those with alcohol or substance dependence
  
  

• Those with serious health problems that may pose a barrier to surgery
  
  

• Patients who cannot comply with lifestyle changes after surgery

How Will Your Life Change After Surgery?

It should be noted that bariatric surgery is a beginning. Success is closely related to the effort shown by the patient in the post-surgery process. Regular doctor check-ups, dietitian support, and adherence to exercise programs enhance the effectiveness of the surgery. Without adopting healthy eating and lifestyle habits, the expected long-term benefits of the surgery cannot be achieved.

Conclusion:

"Am I suitable for this surgery?" If you are wondering, we can provide the most accurate answer after a detailed evaluation. Each patient's situation is unique, and this individuality must be prioritized in treatment planning.

With our Gastroenterology Surgery team, you are in reliable and experienced hands in bariatric surgery. We are here to help you take a step towards a healthy life.