In particular, the first question of the patients who consult us is the weight limit in order to have sleeve gastrectomy or gastric bypass surgery. In general, these surgeries are performed on patients with certain weights, but this weight differs according to the height of the patient. In clinical practice, the decision of whether patients are suitable for these surgeries is determined by a special calculation called body mass index. Body mass index is calculated by dividing a person’s weight in kilograms by the square of their height in meters. People with a body mass index of 35 and above become candidates for obesity surgeries. Furthermore, a person must have tried a diet at least twice and been unsuccessful in order to have bariatric surgery. Also surgical treatments should be planned at the last stage in the treatment of obesity. Although the most efficient method in terms of treatment success is bariatric surgery, also it is a radical treatment option and the possible risks of treatment should be shared with the patient in detail.
Health status of the person and if there is an additional disease related to obesity should be evaluated in detail before the treatment. If there are changes called metabolic syndrome and obesity-related, obesity surgery may also be perdormed on patients with a body mass index between 30-35. Especially if there is uncontrolled diabetes, surgical treatment is a more suitable treatment option for the patient.
It is also quite important to determine which surgical method will be determined after determining the suitability of surgery for the person. Although sleeve gastrectomy is the most suitable treatment option for many people, it is beneficial to consider gastric bypass surgery as a treatment option, especially in terms of its efficiency in the treatment of obesity-related metabolic diseases. The living conditions of the person, the changes that the surgery will make in the person’s life, and the person’s treatment preferences are quite important in treatment planning
