Most of these cases would in addition require psychological counseling, endocrinology evaluation, and sleep apnea management advice with regular follow – ups.
All patients undergoing surgical therapy need to be thoroughly evaluated pre - operatively and counseled regarding outcome and importance of compliance with better lifestyle.
A complete blood work up and adjunctive tests need to be performed prior to evaluation by the team of specialists.
Criteria for undergoing Surgery :
A body mass index (BMI) of 40 or more, which is about 45 kg. (100 pounds) overweight for men and 35 kg. (80 pounds) for women; or
A BMI between 35 and 39.9 and a serious obesity-related health problem such as type 2 diabetes, heart disease, or severe sleep apnea (when breathing stops for short periods during sleep)
Clear understanding about the surgery to be performed and the lifestyle changes required after surgery.
The Surgical options are categorized as follows :
Predominantly restrictive procedures -
Adjustable Gastric Band
Sleeve Gastrectomy
Combination of restrictive and mal absorptive procedures -
Gastric Bypass
Sleeve Gastrectomy with Duodenal switch
All patients of bariatric surgery need additional counseling regarding loose skin, breast, abdomen and buttock ptosis and the need for corrective cosmetic surgery after massive weight loss.