Medical Conditions and Bariatric Surgery

Bariatric surgery is known to most as weight loss surgery or as gastric bypass surgery. The world of bariatric surgery has evolved over the decades, and in today’s weight loss surgical world, there are more choices than just gastric bypass. However, the majority of what bariatric surgery involves entails the same types of risks. Various different types of bariatric surgeries may have fewer suturing required, less downtown, and different methods of decreasing the stomach in some sort of way.

Even though there are different types of bariatric surgeries, different techniques and different results, the disqualifying factors and qualifying factors for bariatric surgery basically remain the same for each type. Your surgeon will have a set of guidelines provided by the US National Institute of Health that he must adhere to, as well as the common ethical guidelines that all surgeons must practice under.

Medical Conditions that Disqualify You for Surgery

As with most any type of surgery, there is a standard set of possibly disqualifying factors. These common factors include:

  • History of blood clotting
  • History of complications with anesthesia
  • Immune Disorders

Smokers are not always barred, but the surgeon may order the cessation of smoking prior to surgery. It is important that you mention all of your conditions, and all medication, vitamins or supplements you take.

A BMI of 30 or Less

It is highly unlikely and against the USNIH guidelines for bariatric surgery to perform any type of weight loss surgery on someone with a body mass index 30 or below. In fact, you have to meet certain guidelines in order to qualify for bariatric surgery if your BMI is less than 40. Some patients can have bariatric surgery with a BMI of 35 if the benefits of the surgery are appropriate because present medical conditions are directly related to the obesity.

Psychiatric Evaluation Failure

Some psychiatric or mental illnesses will not bar someone from having bariatric surgery if it is necessary. For example, most likely a diagnosis of depression will not be a medical condition that would interfere with bariatric surgery. Studies have revealed that a vast majority of morbidly obese people are depressed due to their weight. So, it is possible depression could be alleviated once weight is lost.

On the same token, if the psychiatric evaluations show that the patient is not likely to follow through with doctor’s orders after surgery, then the surgeon will likely cancel or postpone surgery until the patient is more likely to understand the importance of following doctor’s orders. It is imperative that the patient lead a healthy lifestyle post-op, as well as follow any and all doctor’s order; not doing so could result in death.

The results of bariatric surgery not only help an obese people lose weight, but oftentimes these people are able to lessen risks of certain diseases and cancer, lower cholesterol, hypertension and possibly eradicate diabetes. Some medical conditions actually help with bariatric surgery.  

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