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Am I a Candidate for Laparoscopic weight loss surgery >

AM I A CANDIDATE FOR LAPAROSCOPIC WEIGHT LOSS SURGERY?

Criteria for laparoscopic weight loss surgery

According to the National Institutes of Health (NIH) consensus on gastrointestinal surgery for severe obesity, patients are candidates if they are morbidly obese (BMI > 40 kg/m2 or BMI ≥ 35 kg/m2 with co-morbidities), have failed attempts at diet and exercise, are motivated and prepared to make substantial changes in their eating habits, have no dependency on alcohol or drugs, well informed, free of significant psychological disease and have acceptable operative risks.

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Classification of Obesity according to BMI

Category	BMI	*Health Risk	Surgery

Normal	18.5 to 24.9	LOW	Not Recommended

Overweight	25 to 29.9	MODERATE	Not Recommended

OBESITY or Obese Grade I	30 to 34.9	HIGH	Not Recommended

SEVERE OBESITY or Obese Class II	35 to 39.9	VERY HIGH	Recommended

MORBID OBESITY or Obese Class III	Over 40	EXTREMELY HIGH	Very Recommended

SUPER OBESITY or Obese Class IV	Over 50	EXTREMELY HIGH	Very Recommended

* Health risk refers to the possibility of developing a co-morbid disease

(if not present already) and reduced life expectancy.

Numerous therapeutic approaches to this problem have been advocated, including low calorie diets, medication, behavioral modification and exercise therapy. However, the only treatment proven to be effective in long-term management of morbid obesity is surgical intervention.

Surgically induced weight loss is associated with resolution or substantial improvement of co-morbid diseases in 75–100% of patients and reduced mortality compared with medically treated patients.