PATIENT TREATMENT COURSE
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INDICATIONS FOR SURGICAL TREATMENT
SURGERY AND OBESITY: INDICATIONS

Weight-loss surgery, known as bariatric surgery (from the Greek terms "baros" meaning "weight") represents a treatment strategies for dealing with obesity. The guidelines provide by the Consensus Conference of the National Institute of Health have established the following criteria of eligibility for surgical treatment:

INDICATIONS
- age between 18 - 60 (this limit is not absolute)
- BMI > 40 - BMI between 35 - 40 but accompanied by:

  • pathologies associated with high-risk of death:
  • hypertensio 
- diabetes - heart failure - osteoarthritis
  • dyslipidaemia
  • sleep apnoea syndrome
  • need for weight loss in order to undergo orthopaedic surgery
  • severe psychological discomfort caused by obesity limiting social life and social skills.

CONTRAINDICATIONS
ABSOLUTE:

  • Obesity associated with endocrine diseases
  • Major psychiatric disorders:
  • Borderline personality disorder (BPD)
  • Schizophrenia
  • Severe active depression
  • Uncontrolled eating disorders (binge eating)
  • Drug and alcohol abuse
  • Poor compliance of the patient to a long follow-up
  • High-risk surgical patients
  • Pregnancy


RELATIVE:

  • cirrhosis of the liver
  • organ transplant patients
  • cancer patients
  • CRI patients in dialysis
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