Who is it For?
The decision for obesity surgery must be made through a multidisciplinary approach, taking into account the patient's general health status, Body Mass Index (BMI), and past weight loss experiences. Within the framework of globally accepted protocols, suitable candidates for surgical intervention are defined as follows:
1. Body Mass Index (BMI) Parameters BMI is the most fundamental criterion for surgical eligibility:
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BMI > 40 kg/m²: Individuals in this group, defined as "morbidly obese," are surgical candidates regardless of whether they have a co-existing disease.
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BMI 35 - 40 kg/m²: Surgical options are evaluated for individuals in this range who suffer from obesity-related conditions such as type 2 diabetes, hypertension, sleep apnea, or severe joint problems.
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BMI 30 - 35 kg/m²: In the presence of uncontrolled type 2 diabetes and metabolic syndrome, surgery may be considered within the scope of "Metabolic Surgery."
2. Diet and Lifestyle History Surgical intervention is generally preferred when other methods have been tried but permanent results could not be achieved:
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Failure to achieve significant weight loss within the last 6 months despite expert-controlled diet, exercise, and medical treatments.
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The "yo-yo effect" cycle of weight loss and regain beginning to threaten the patient's health.
3. Psychological and Commitment Factors Surgery is only the beginning of the process. For a successful outcome, patients are expected to have:
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Motivation to adapt to post-operative nutritional patterns and lifestyle changes.
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Absence of active psychiatric disorders that would prevent the surgical process and subsequent follow-ups.
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Absence of conditions such as alcohol or substance abuse that could pose a risk post-operatively.
4. Age and General Health Status
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Age Range: Generally preferred for ages 18-65; however, the age limit can be extended with expert committee approval if the patient's biological age and health status are suitable.
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Anesthesia Suitability: The patient must not have advanced heart or lung diseases that would prevent surgical operation and general anesthesia.
Important Note: Obesity surgery should be performed with the aim of protecting metabolic health and extending life expectancy, not just for aesthetic concerns. A comprehensive check-up and an expert surgeon's opinion are essential to determine the most suitable method for you.