Am I a Candidate?
If you have a BMI over 30, you may qualify for a weight loss surgery procedure.
Bariatric surgery is for patients who desire a surgical solution for long term weight loss. Candidates for bariatric surgery must have tried dieting in the past, but have not been able to maintain long term weight loss.
Generally, bariatric surgery candidates must meet the National Institute of Health (NIH) or ASMBS (American Society of Metabolic and Bariatric Surgery) recommended criteria. Most insurance companies also require meeting the NIH criteria for surgery authorization. Although the NIH, ASMBS and FDA have set guidelines for bariatric surgery, patients may still be candidates for surgery even if they fall outside of these guidelines. Please call our office for details or refer to our insurance and self-pay sections for further details.
Bariatric surgery is an elective procedure and candidates must meet the following criteria.
- 1. Have a BMI greater than 40 regardless of the presence of other medical conditions
- 2. Have a BMI greater than or equal to 35 with one or more significant obesity-related conditions including but not limited to:
- High blood pressure
- Arthritis (pain in weight bearing joints)
- Sleep apnea
- Obesity hypoventilation syndrome
- High cholesterol
- urinary stress incontinence
- Cardiology (Atrial fibrilation, cardiomyopathy)
- 3. Have failed multiple attempts with dietary, behavioral and/or medical therapy
- 4. Have a lifelong commitment to weight loss through lifestyle changes and long-term follow-up care
- 5. Each patient must have a multidisciplinary medical evaluation with our team of medical, surgical, psychological and nutritional experts
- Surgical evaluation – the surgeon will discuss the risks and benefits of surgery and whether or not a patient meets the requirements for weight loss surgery.
- Medical evaluation–each patient needs a thorough medical evaluation to address all of their medical conditions prior to surgery. Some patients may need further consultations with specialists when medically indicated.
- Nutritional evaluation–our team of nutritionists will review the necessary information so that patients can make the lifelong changes in eating habits and exercise to be successful. Pre-operative and post-operative nutritional counseling will help each individual patient meet their nutritional needs during their weight loss journey.
- Psychological evaluation–The psychologist will discuss topics such as obesity in adults, frustration with weigh gain, food cravings and obsessions, self-esteem or confidence issues, anxiety, depression and how surgery may realistically impact their life.
New FDA guidelines for the LapBand:
Since 2010, the FDA recommended expanding the use of adjustable gastric banding to include patients with BMI’s between 30-35 with an obesity-related comorbidity.
Bariatric surgery requires a long-term commitment on the part of each individual patient. Lifestyle changes include modifying your eating habits, being knowledgeable about food information, increasing physical activity and exercise and yearly follow-up meetings with our nutritionists. Patients must be well informed about bariatric surgery, prepared for the life changes and ready to start their journey. We use a multidisciplinary team approach to give our patients the best chance for life-long weight loss success. We also provide bariatric surgery support groups to assist you along the way.