qualify

Weight-Loss Surgery: Patient Qualifications



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weight-loss surgery has been proven to

prolong patient's life after smoking

it's the second leading preventable

cause of death and fast approaching

smoking and we know that on average it

can increase the patient's life

expectancy by up to seven years

the other thing specific to smoking is

that with some of the surgeries there's

increased risk and complications in

smokers there are some GI tract

ulcerations that occur in patients that

smoke after bariatric surgery so we

definitely like to have people stop

smoking prior to any surgery the age

requirements for surgery are in general

being between the ages of 18 and 60 we

don't do any patients under 18 but

currently are trying to develop a

adolescent bariatric program to help

that population we've done people into

their mid 70s you have to be a good

candidate for weight loss surgery be

able to tolerate the surgery itself and

be able to reap the benefit of the

reduction in comorbidities that we see

with our patients any patient over the

age of 50 will get cardiac clearance and

everyone gets medical clearance from

their interest BMI or body mass index is

a way that we use to calibrate someone's

level of obesity it uses your height and

weight puts it into a formula gives us a

number that is generally accepted as a

measure of obesity that often the

insurance companies use to determine if

somebody is a potential candidate for

surgery or not we have a body mass index

calculator on LVH an org where you can

calculate your own BMI in order to

qualify for weight loss surgery a

general BMI is that of 40 any patient

with a BMI of greater than 40 who has

failed medical attempt for weight loss

is usually a surgical candidate in

addition patients with a BMI over 35

both medical comorbidities such as high

blood pressure or type 2 diabetes will

also be considered as candidates for

surgery there's many companies our

weight-related they include type-2

diabetes high blood pressure obstructive

sleep apnea

gastroesophageal reflux urinary stress

incontinence our

krytus and many other conditions if

you've been diabetic for one two or

three years and on one medication orally

you'll actually leave the hospital and

no anti-diabetic medications if you're a

tougher diabetic and you've had the

disease for maybe 15 years and you're on

multiple medications and a high dose of

insulin then it will resolve quickly but

at a slower pace as your weight loss

proceeds we've treated people that are

on a lung transplant list with weight

loss surgery we've treated people that

have had kidney transplant that are

waiting to get kidney transplants these

are sick individuals that we've been

referred to by their specialists because

they know that without sustained weight

loss they will not get the treatment

they need or they won't reap the benefit

of the transplant in this case that they

need if you have a significant cardiac

problem that would preclude general

anesthesia that may be something that

would put the patient at too high of a

risk but often enough the cardiologists

say their obesity is more of a problem

than the risk of being under general

anesthesia and if we can get that under

control it may be easier to treat their

cardiac problem