Bariatric surgery is known as a long lasting solution when it comes to weight loss in obese patients. This surgery is especially recommended to obese patients with life-threatening medical conditions or co-morbidities, as it helps in the improvement and remission of these medical conditions. There are certain criteria to be met by the patient to qualify for bariatric surgery. The very first criterion is bodyweight. Any patient who is 100 pounds over the ideal body weight or has a BMI of 40 or higher or BMI of 35 or above with two or more co-morbidities is eligible for Bariatric surgery. People qualify for Bariatric surgery if they are not able to lose weight even after efforts and have obesity-related medical conditions. Given below is the list of medical conditions that qualify for bariatric surgery-
Obesity increases the risk of patients developing diabetes by 10 times. But it has been found that weight loss surgery can control the sugar level in blood and hence helps in treating type2 diabetes. In fact, the surgery within days shows its effect on blood sugar. Procedures like Roux-en-Y surgery and Biliopancreatic diversion with duodenal switch (BPD/DS) have led to reduction and even elimination of medications related to diabetes.
High blood pressure or hypertension
Obese people are more likely to develop high blood pressure or hypertension, and it increases their mortality risk. Bariatric surgery has proved effective in controlling blood pressure in obese patients. In a study, the lead investigator Carlos Aurelio Schiavon, MD, in a press release stated that “The latest GATEWAY results showed that early improvements and even remission of high blood pressure in bariatric surgery patients are sustainable over a longer period of time while those on conventional medical treatment continue to face difficulties with both hypertension and obesity. “
Obesity leads to higher LDL (bad cholesterol) and lower HDL (good cholesterol). Thus it increases the risk of cardiovascular disease and stroke. Bodyweight directly affects cardiovascular risk factors that include high cholesterol. Studies have shown that there is a significant reduction in LDL post surgery, as it has been found effective in reducing and even curing problems related to high cholesterol.
Obstructive sleep apnea
Patients with a Body Mass Index of 35 or more with sleep apnea or even BMI less than 35 with sleep apnea that could not be controlled adequately, qualifies for bariatric surgery. Obstructive sleep apnea (OSA) is generally linked with morbid obesity. Biliopancreatic diversion (BPD), laparoscopic sleeve gastrectomy, or laparoscopic sleeve gastrectomy are procedures that can help in resolving and improving OSA.
Arthritis, especially knee osteoarthritis, is not just painful but hinders movement too, which makes weight loss really challenging. Bariatric surgery by aiding weight loss helps in improving symptoms and mobility in arthritis patients.
Increasing BMI makes breathing harder hence leading to weakness of respiratory muscles. Many studies have shown an association between obstructive lung disease like asthma and obesity. It has been seen that bariatric surgery helps in improving respiratory function and helps with obesity-related breathing problems.
Some other medical problems like non-alcoholic fatty liver disease or some kidney diseases also qualify for weight loss surgery. But patients with medical conditions which came prove dangerous during or after the surgery, like severe heart or lung problems, chronic pancreatitis, systemic lupus erythematosus, or blood disorders, are not eligible for bariatric surgery.