Who Is Candidate For Surgery?

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Who Is Candidate For Surgery?

Active smoking Helicobacter Pylori positivity Iron deficiency Vitamin B12 deficiency Vitamin D deficiency Diseases that may cause upper gastrointestinal bleeding Being pregnant Presence of active infection Be under 18 Chronic aspirin or NSAID use

Who Is Candidate For Surgery?


According to international criteria, people who are eligible to undergo obesity surgery are patients with a certain body mass index with very low probability of weight loss on their own.


The adventure of obesity surgery (bariatric surgery) began in the 1800s with the idea of ​​suturing the lips of the patients.

Modern bariatric surgery trials were first published in 1954 by Kremen with a new attempt to connect the intestines. In 1967, gastric bypass method was developed. Bilopancreatic diversion technique was described in 1978.

 In the 1970s, obesity surgery was covered by the US by recognizing the magnitude of the threat posed by obesity for the country.

In 1991, the National Institute of Health (NIH) established a consensus meeting on the criteria for whom obesity surgery should be performed. These criteria were revised in 2001 and finalized at the latest IFSO meeting in August 2016

 

The criteria to be taken into consideration here are to save the patient from the disease before it becomes irreversible, with co-morbidities that are likely to pose a life-threatening threat in the long term, with very low probability of weight loss.
 


OBESITY SURGERY CRITERIA

  • 18-65 years
  • BMI
    • > 40
    • > 35 + Obesity-related concomitant disease (eg hypertension, fatty liver ...)
    • > 30 + Diabetes (requiring treatment)
  • He tried other weight loss methods but did not succeed.
  • Being obese for at least 5 years
  • Lack of hormonal diseases that cause obesity
  • Lack of alcohol, drug and drug addiction
  • Understand the method to be applied and be able to adapt after surgery
  • Accept the risks of surgery

 
CONTRAINDICATIONS OF OBESITY SURGERY

Although the patient meets the criteria for obesity surgery in some cases, we do not recommend the patient to undergo surgery. In the examinations performed after the patient's application (blood test, ultrasonography, endoscopy, ECG, ECO, pulmonary function test, Chest Diseases consultation, Cardiology consultation, Psychiatry consultation), the patient's general health status is evaluated. Making these assessments is vital. We basically divide the conditions that prevent surgery from being performed. The first one should not be done absolutely, the second will be operated only if the current situation is corrected. The most important group here is the patients with transient criteria, because these patients have a higher risk of complications than normal operations.

 ABSOLUTE CONTRAINDICATION

  • Severe cardiopulmonary disease or severe organic disease
  • High operative risk
  • Alcohol or drug addiction
  • Gastrointestinal system abnormalities (atresia, agenesis, stenosis)
  • Patients who can not adapt
  • Patients who may develop reactions to the materials used Inflammatory bowel patients (for Gastric Bypass)

TEMPORARY CONTRAINDICATIONS

(Cases where operation is allowed if treated)

  • Active smoking
  • Helicobacter Pylori positivity
  • Iron deficiency
  • Vitamin B12 deficiency
  • Vitamin D deficiency
  • Diseases that may cause upper gastrointestinal bleeding
  • Being pregnant
  • Presence of active infection
  • Be under 18
  • Chronic aspirin or NSAID use