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Candidates

Surgery is not right for everyone. Here are some of the things we will consider when evaluating your candidacy for obesity surgery.

Indications

  • You are at least 16 years old.
  • Your BMI is 35 or higher or you weigh at least twice your ideal weight or you weigh at least 40- 45 kilos more than your ideal weight.
  • You have been overweight for more than 5 years.
  • Your serious attempts to lose weight have had only short-term success.
  • You do not have any other disease that may have caused your obesity.
  • You are prepared to make substantial changes in your eating habits and lifestyle.
  • You are willing to continue being monitored by the specialist who is treating you.
  • You do not drink alcohol in excess, are not a drug addict or have serious psychiatric issues.

If you do not meet the BMI, age or weight criteria, you still may be considered for surgery if your BMI is over 35 and you are suffering from serious health problems related to obesity.

Contraindications

  • You have an inflammatory disease or condition of the gastrointestinal tract, such as ulcers, or Crohn’s disease.
  • You have severe heart or lung disease that makes you a poor candidate for surgery.
  • You have some other disease that makes you a poor candidate for surgery.
  • You have a problem that could cause bleeding in the oesophagus or stomach.
  • You have portal hypertension.
  • Your oesophagus, stomach, or intestine is not normal (congenital or acquired). For instance you might have a narrowed opening.
  • You have or have experienced an intra-operative gastric injury, such as a gastric perforation
  • You have cirrhosis.
  • You have chronic pancreatitis.
  • You are pregnant.
  • You are addicted to alcohol or drugs.
  • You are under 16 years of age.
  • You have an infection anywhere in your body or one that could contaminate the surgical area.
  • You are on chronic, long-term steroid treatment.
  • You cannot or do not want to follow the dietary rules that come with this procedure.

Your Motivation

Surgery should be considered a tool to help people lose weight: success occurs when the tool is used correctly.  So your motivation and commitment to adopt a new lifestyle are extremely important for long-term weight loss. New eating habits must be adhered to for the rest of your life. Exercise is an equally important component of a changed lifestyle.