Overcoming obesity and health conditions associated with obesity (co-morbidities) can be a constant, daily struggle. Those who suffer from excess weight and have not had success with strategic and conservative efforts of diet and exercise may be curious if they are candidates for bariatric surgery, a solution that can be positive for achieving long-term weight loss. These types of procedures are designed to alter the stomach and digestive system, often leading to a decreased appetite, a faster feeling of fullness, more limited calorie absorption, and a normalized metabolism.
With all of this in mind, it is important to note that the efficacy and results of bariatric procedures are largely dependent on meeting the appropriate requirements. Below, Dr. James Parrish outlines the typical qualifications necessary for weight loss surgery:
Body Mass Index (BMI)
- In most cases, candidates must have a BMI of 35 or higher; OR
- BMI of 30 or higher with serious weight-related health issues, such as:
- High cholesterol, high blood pressure, high blood sugar, type 2 diabetes, heart disease, kidney disease, non-alcohol related fatty liver disease, osteoarthritis, obstructive sleep apnea, depression, or cancer.
General Candidacy:
- 18 years of age or older (special circumstances may apply)
- Have previously tried to lose weight through diet and exercise without sustained success
- Willing to commit to significant nutritional changes and healthy lifestyle habits
- Aware of the physical and psychological effects of bariatric surgery
- Educated on the realistic expectations and outcomes of bariatric surgery
Types of Bariatric Surgery
Gastric Bypass Surgery
Medically known as Roux-en-Y gastric bypass surgery, this procedure reduces the size and capacity of the stomach to the size of an egg, then attaches this smaller pouch directly to part of the small intestine. This enables food to bypass the rest of the stomach and the upper part of the small intestine during the digestive process. Gastric bypass may be recommended for individuals with a BMI of 50 or higher; however, patients with a lower BMI may also qualify.
Gastric Sleeve Surgery
Also referred to as “vertical sleeve gastrectomy,” gastric sleeve surgery removes a large portion of the stomach, forming a narrow tube called a sleeve that is approximately the size and shape of a banana.
LAP-BAND® Adjustable Gastric Banding
LAP-BAND® System surgery, also known as gastric banding, essentially decreases the size of the stomach by attaching a saline-filled adjustable band around the top portion, creating a smaller pouch for food intake. Unlike gastric bypass and gastric sleeve surgery, this procedure is reversible.
If you are considering bariatric surgery, it is best to schedule a consultation with a skilled weight loss surgeon, such as Dr. Parrish, who has extensive experience in weight loss procedures and surgical protocols. Qualified surgeons are best suited to assess your medical history, health goals, and candidacy to establish a safe, effective treatment plan and a continued support system following surgery.
To learn more about candidacy for bariatric surgery, please contact us to schedule an appointment with Dr. Parrish or to find information about attending one of our free weight loss surgery seminars.