Obesity should be treated like an illness when associated with impairing pathologies that affect quality and life span. Bariatric surgery represents nowadays the most effective solution to treat morbid obesity.
Bariatric surgical intervention is needed when obesity becomes morbid, that is to say when Body Mass Index exceeds 40 or 35, in presence of at least one of the so-called associated pathologies such as diabetes, arterial hypertension, dyslipidemia (cholesterol and/or fat), nocturnal apnea syndrome, joint overload (vertebral column, hips or knees). A few tests are enough to know if the patient is at high cardiovascular risk. In that case bariatric surgery is compulsory, in order to reduce weight and solve or at least improve co-morbidities, to lower death risk due to heart attack, ictus or respiratory insufficiency.
Bariatric surgery is usually carried out through minimally invasive access – as laparoscopy or other reversible procedures such as gastric banding and gastric bypass – but other irreversible procedures are also available, such as sleeve gastrectomy or the bilio-pancreatic diversion with or without duodenal switch. Each of these types of intervention affects weight loss and therefore also the solution of co-morbidities in a variable way. The decision to undergo one of these surgical treatments depends on the accurate evaluation of the type of obesity (gynoid adiposity or visceral obesity), the Body Mass Index and the patient’s eating habits, as well as eating disorders or associated pathologies such as type 2 diabetes.
The benefits of different bariatric surgery solutions on associated pathologies are evident. To know more contact the Secretariat at the phone number +39 050 586217