Health Reality and Medical Advices

Since in many cases, conservative treatment of obesity ends in failure, then when considering the surgical option, which it aims is to improve symptoms and reduce risk of obesity through weight loss and sufficient maintained over time, with minimal complications.

Therefore, no striving for the ideal weight, but the change in surgery of the structure of the digestive aid is offered to the patient to try to change their eating habits.

The accepted indications for surgical treatment of obesity are:

1. Patients with obesity and a body mass index (BMI)> 40 kg/m2, and absence of endocrine diseases that can cause this obesity (eg hypothyroidism).
2. Patients with BMI> 35 kg/m2 is associated with potentially serious diseases such as obstructive sleep apnea, heart disease, diabetes mellitus … Also included in this group those with physical mobility by obesity diminish their quality of life much.
3. Acceptable surgical risk, and age between 18 and 60.
4. Absence of toxic habits or psychiatric illness.
5. Obesity held for 5 years, with failure of conservative treatment for at least 2 years.
6. Assumption by the patient’s surgical risk and postoperative compromise of a right and follow strict nutritional guidelines.

It is accepted that surgery should not be under 18 years of age and above differences of opinion between those who say not to intervene over 60 years, while others accept older patients depending on the individual case.

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