Who is a good candidate for bariatric surgery?

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A good candidate for bariatric (weight loss) surgery is at least 100 pounds overweight and highly motivated to make lifestyle changes. In this video, Richard Gordon, MD, of Largo Medical Center, shares traits that increase patients' success.

There are many factors that determine whether or not a patient qualifies for bariatric surgery, says Chi Zhang, MD, General Surgeon at Plantation General Hospital. Learn more in this video.

Selection criteria for bariatric (weight-loss) surgery are based on National Institutes of Health (NIH) and American Society for Metabolic and Bariatric Surgery (ASMBS) standards for consideration of weight loss surgery:

  • People who have tried and failed at non-surgical treatments for severe and morbid obesity
  • BMI (body mass index) greater than 40
  • BMI greater than 35 with significant presenting co-morbidities

Candidates for bariatric surgery complete comprehensive medical, psychological and nutritional evaluations before surgery, and must be well-informed and show an understanding and acceptance of the operation’s benefits and risks.

Most importantly, to ensure postoperative success, they must be willing to commit to a long-term lifestyle focusing on physical, psychological and nutritional healthy living. This is supported by long-term follow-up after surgery.

Dr. Khoi H. Du, MD
Bariatric Medicine (Obesity Medicine) Specialist

A good candidate for bariatric surgery meets the criteria, is ready to make a change and is committed to the process. A candidate also has to be very well informed about the bariatric surgery process and medically fit. If candidates don’t meet these criteria, they won't be successful in the long run. This is not just about the surgery or even a couple of years after. This is about five or 10 years down the road. Changing one’s lifestyle—eating and exercise habits and behavior—is a crucial part of the process over the long run.

Dr. Keith J. Kreitz, MD
Bariatric Medicine (Obesity Medicine) Specialist

In 1991, the National Institutes of Health put out some criteria based off data they were able to glean from decades of research in bariatric surgery. The institute said, if you have a body mass index (BMI) of forty or greater, we know that you should have something done to change that, and surgery is the best long-term option.

Additionally, they found people with a BMI between thirty-five and forty, who also had a medical problems tied to their excessive weight, benefited from weight loss surgery.

Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider.

Good candidates for bariatric surgery are those with a body mass index (BMI) of over 35 to 39.9 who have at least one medical problem that is associated with being overweight. Common things that are associated with being overweight are high blood pressure, diabetes, sleep apnea and high cholesterol. These people are roughly 75 pounds overweight or more.

When a person has a BMI of over 40, they are considered to be candidates for weight loss surgery just based upon their weight alone, whether they have medical problems that are associated with being overweight or not. On average, these people are about 100 pounds overweight or more.

Bariatric surgery has proven to be the most effective treatment for people who are morbidly obese.

Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider.

Dr. Randal S. Baker, MD
Surgeon

Anyone with a body mass index (BMI) of 35 or greater is a candidate for Bariatric Surgery. Someone with a (BMI) of 35 to 40 with associated diseases (i.e.: diabetes, hypertension, hyperlipidemia) or other conditions, or someone with a BMI greater than 40 and previous attempts of medical weight loss, is a good candidate for bariatric surgery. The candidate must also be psychologically capable of tolerating the surgical changes.

Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider.

Dr. Mehmet Oz, MD
Cardiologist (Heart Specialist)

Bariatric surgery isn’t right for everyone. It’s best reserved for those who are at least 100 pounds over ideal body weight or have a body mass index (BMI) greater than 40, or if your BMI is greater than 35 and you have associated health problems related to your obesity, like heart disease, type 2 diabetes, or severe sleep apnea.

In addition to being morbidly obese, bariatric surgery candidates are expected to have tried other weight-loss treatments with little or no success, be psychologically stable, and be able to demonstrate the motivation to make a life-altering change.

A good candidate for bariatric surgery is a person who has tried to lose weight in the past without much success. Good candidates have a body mass index (BMI) of 40 or greater, or are about 100 pounds overweight. Alternatively, the person could have a BMI of 35 or greater and co-morbidities or health issues related to weight such as high blood pressure, diabetes, sleep apnea and so on. People must also be ready to commit to a life style change for the rest of their life, as well as supplementing the diet with vitamins. People falling into these categories must also have further testing to make sure they can safely go through surgery. They will be evaluated by a cardiologist and a dietician and will also have a psychological evaluation. This is done to make sure a person is a good candidate and will have the best outcome. Insurance companies may have other criteria as well for a person to meet before being considered a candidate.

Dr. Steven C. Simper, MD
Vascular Surgeon

If nonsurgical medical weight loss methods have not helped you lose weight and keep it off, you might consider bariatric surgery. It is an increasingly safe and effective option. You might be a good candidate if you need to lose at least 75 pounds. You should strongly consider bariatric surgery if you have type 2 diabetes and are overweight. Studies show that bariatric surgery not only helps people get to a healthier weight, but it can make their diabetes go away, too.  

Our team offers four different bariatric (weight loss) surgery procedures:

  • gastric band
  • sleeve gastrectomy
  • gastric bypass
  • duodenal switch

Candidates for bariatric surgery are determined based on body mass index, or BMI, says bariatric surgeon John L. Coon, MD, FACS, of Riverside Community Hospital. In this video, he explains which BMI levels would qualify for this obesity treatment.

Good candidates for bariatric surgery are individuals that are fit enough for surgery and have an unhealthy body mass index (BMI). This is typically a BMI equal to or greater than 40, or roughly 100 pounds overweight. Those with a BMI between 35 and 40 (or roughly 70 pounds overweight) and an obesity-related illness, like diabetes, will usually also qualify for surgery. Criteria for an obesity-related illness will depend on the specifics of the insurance carrier. So illnesses like high blood pressure, high cholesterol, reflux disease, sleep apnea, limited mobility or function may qualify depending on a person’s insurance. Most importantly, as these are elective surgeries, these individuals must have adequate cardiopulmonary function to be able to tolerate general anesthesia and laparoscopic (minimally invasive) surgery. So if a person can climb a couple of flights of stairs or go grocery shopping without chest pain or shortness of breath, then he or she should be okay to tolerate anesthesia and surgery. Otherwise, additional work-up with cardiac and pulmonary testing may be needed beforehand.

A combination of factor—including weight and pre-existing medical conditions—determines who would most benefit from bariatric surgery. In this video, bariatric surgeon Alfredo Fernandez, MD, from Brandon Regional Hospital, explains.

A good candidate for bariatric surgery is anyone who is significantly overweight (typically 70 or more pounds over ideal weight) and whose life and health are being negatively affected by carrying the extra weight. Many health insurance plans now cover bariatric surgery because of the long-term health benefits that come with losing a significant amount of weight.

Dr. Marc M. Zare, MD
Bariatric Medicine (Obesity Medicine) Specialist
Candidates for bariatric surgery are chosen based on pre-existing medical issues and excessive weight. Watch as Marc Zare, MD, a bariatric surgeon at Good Samaritan Hospital, explains in detail these prerequisites. 

If you’ve tried to lose weight with diet and exercise, but haven’t been able to, you may be a good candidate for bariatric surgery. In this video, John Pilcher, MD, from Methodist Specialty and Transplant Hospital explains what a good candidate looks like.

Most candidates for bariatric surgery are adults who are considered morbidly obese. Your body mass index (BMI) helps determine if you are obese or not. BMI is a measurement of body fat. It's calculated using your height and weight.

However, you don't necessarily need to be morbidly obese to be an ideal candidate for bariatric surgery, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

Other things that make a person a good candidate for bariatric surgery are:

  • BMI of 40 or higher
  • BMI of 35 or higher and an obesity-related medical condition (such as type 2 diabetes or heart disease)

Some things make a person not a good candidate for bariatric surgery. They are:

  • Drug or alcohol addiction
  • Untreated mental health condition, including eating disorders
  • Resistance to changing your lifestyle habits after surgery

The decision to have bariatric surgery is not one to be taken lightly. It’s important to be realistic about your expectations and limitations. Weigh the pros and cons of this weight loss method.

This content originally appeared on http://blog.mountainstar.com/

Patients with a BMI greater than 30 and with disorders like diabetes, sleep apnea or high blood pressure are the best candidates for bariatric surgery, according to Ernest Rehnke, MD, in bariatrics and general surgery at Palms of Pasadena Hospital.

Whether or not you're eligible for bariatric surgery is based on your BMI and your overall health. Watch as bariatric surgeon Neil McDevitt, MD, of Trident Medical Center explains the regulations on bariatric surgery.

The ideal candidate for bariatric (weight loss) surgery has exhausted all efforts with conservative weight loss in the past. In this video, surgeon Tiffany Jessee, DO, of Largo Medical Center, explains health insurance requirements as well.

Candidates for bariatric (weight loss) surgery need to meet specific requirements. In this video, surgeon Robyn Ache, DO, of Largo Medical Center, explains those requirements and adds that a commitment to lifestyle changes is key. 

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.