Obesity is a serious public health problem associated with increased morbidity and mortality and decreased the quality of life. According to the World Health Organization, in 2005 there were about 400 million obese adults worldwide (Noria & Grantcharov, 2013).
The World Health Organization defines overweight as a body mass index (BMI) of 25 or more and obesity as a BMI of 30 or more Obese patients are further categorized into class I (BMI 30–34.9), class II (BMI 35–39.9) and class III (BMI 40 or more)( Kaila & Raman, 2008).
Most patients will be good candidates for gastric sleeve surgery if they have a BMI (body mass index) of 30 or over. Patients with a BMI of 30 and co-morbidities, will very likely be a candidate for the gastric sleeve procedure. Please contact our helpful staff to learn more about our approval process.
Why Should I Consider Gastric Sleeve Surgery?
Gastric sleeve surgery is one of the surgical methods used in the management of morbid obesity. It involves the surgical reduction of the stomach by about 80-90% with the purpose of achieving a reduction in its capacity.
Patients with a BMI >30 have substantially more severe health consequences and a reduced life expectancy. Obesity significantly impairs quality of life, and the risk of morbidity and mortality increases with the degree of obesity (Pentin & Nashelsky, 2005).
Studies have indicated that obesity is responsible for more than 2.8 million deaths worldwide per year owing to an increased prevalence of related comorbidities, including type 2 diabetes, hyperlipidemia, hypertension, obstructive sleep apnoea, heart disease, stroke, asthma, back and lower extremity weight-bearing degenerative problems, several forms of cancer and depression (Noria & Grantcharov, 2013).
Studies have also revealed that following gastric sleeve; the associated comorbid conditions showed drastic improvement culminating in improved quality of life. An added advantage of gastric sleeve is the low risk of complications as compared with other surgical methods of managing obesity.
Diet therapies have been reported to be ineffective in the long-term treatment of obesity, and guidelines for the surgical therapy of morbid obesity (BMI ≥ 40 or BMI ≥ 30 in the presence of substantial comorbidities) have since been established (Noria & Grantcharov, 2013).
What Are the Indications (Eligibility) For Gastric Sleeve?
There are no clear-cut indications for gastric sleeve surgery. However, consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) of more than 30, or more significant comorbid conditions or weight-induced physical problems interfering with the performance of daily life activities (Pentin & Nashelsky, 2005).
The co-morbid conditions are cardiovascular disease, sleep apnea, uncontrolled type 2 diabetes. Surgical treatment of obesity such as gastric sleeve surgery is also indicated when less invasive methods of weight loss have failed, and the patient is at high risk for obesity-associated morbidity and mortality (Pentin & Nashelsky, 2005).
At present, there’s no consensus on the contraindications to bariatric surgery, bariatric surgeons are of the opinion that bariatric surgery should not be done for patients with extremely high operative risks, those who are substance abusers, or those with significant psychopathological conditions that would mitigate their understanding of the nature of the surgery and may not adhere to the life-long lifestyle changes.
Although some authorities are of the opinion that severe gastro-oesophageal reflux disease should be a contraindication to gastric sleeve surgery, however, no consensus has been reached as another school of thought believe that a properly performed gastric sleeve will not exacerbate or induce gastro-oesophageal reflux.
Based on the above indications and relative contraindications, it is possible to determine whether you are a candidate for gastric sleeve surgery or not. Before our doctor declares you as eligible for gastric sleeve surgery, your body mass index (BMI), your quality of life, and the presence of co-morbid conditions would all be put to consideration.
If you are obese and also having a cessation of breathing while sleeping (obstructive sleep apnoea), or with cardiovascular problems such as angina, hypertension, etc. then you may be a candidate for gastric sleeve surgery. Please contact our helpful staff today to learn if you’re a candidate for the gastric sleeve procedure.
- Noria, S. F., & Grantcharov, T. (2013, February). Biological effects of bariatric surgery on obesity-related comorbidities. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569476/
- Kaila, B., & Raman, M. (2008). Obesity: A review of pathogenesis and management strategies. Canadian Journal of Gastroenterology, 22(1), 61–68.
- Petin, P. L., & Nashelsky, J. (2005). What are the indications for bariatric surgery? – PubMed – NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/16009096