Age between 18 and 65 years. People aged between 14 and 18 years with parental consent, and after a personalized study of the benefits-objectives in each case, and always in the environment of ADOLESCENT SURGERY UNITS like ours. In the case of patients between 65 and 70 years old with good general condition, the risk/benefit must be assessed individually.
BMI > 40 (ratio between weight in kg and the square of height in meters), which usually adds up to approximately more than double the ideal weight.
BMI between 35-40 if associated with comorbidities such as Type 2 Diabetes, Hypertension, dyslipidemia (hypercholesterolemia, hypertriglyceridemia), Heart failure, Respiratory failure, Obstructive Sleep Apnea Syndrome (OSAS), Cholelithiasis, Amenorrhea-infertility and other menstrual disorders, urinary incontinence especially in women, osteoarthritis of the hips and knees, venous insufficiency in the lower limbs, idiopathic intracranial hypertension, gastroesophageal reflux and social limitations.
TYPE 2 DIABETES and BMI>30. In case of poor control of diabetes despite appropriate treatments. These patients must be assessed individually in the environment of multidisciplinary units. Patients with BMI>30 and other major comorbidities, including psychological ones, are also considered candidates, as long as they cannot lose weight with other treatments.
- Duration of morbid obesity of at least 5 years.
- Previous serious and controlled weight loss attempts
- Psychological stability:
- Absence of severe alcohol or other drug addiction.
- Absence of major psychiatric disorders such as schizophrenia, psychosis, bipolar disorder, major depression (although patients with stable mental illness may also be candidates), mental retardation, eating disorders (bulimia, anorexia nervosa, binge eating disorder)