disorders of nutrition
Metabolic and Bariatric Surgery
Introduction
Metabolic and bariatric (weight-loss) surgery alters the stomach, intestine, or both to produce weight loss in people have obesity or overweight and have metabolic disorders related to obesity (such as diabetes or abnormal lipid levels) or other weight-related complications (such as high blood pressure, sleep apnea, or heart disease). In the United States, about 260,000 people have metabolic and bariatric surgery each year. This number accounts for almost two-thirds of the total number of bariatric procedures done worldwide. These procedures result in substantial weight loss. People may lose half or even more of their excess weight and as much as 80 to 160 pounds. Weight loss is rapid at first and then slows gradually over a period of about 1 to 2 years. Weight loss is often maintained for years. The loss greatly reduces the severity and risk of weight-related medical problems (such as Sleep Apnea and Experts in bariatric surgery recommend surgery for people with a body mass index (BMI) of over 35, regardless of other health conditions, and for those with a BMI 30 to 34.9 with metabolic disorders (such as diabetes and heart disease). Many of these people also qualify for Medications . How to use these medications with surgery is under study. To qualify for surgery, people also need to do the following: Understand the risks and effects of metabolic and bariatric surgery Be motivated to follow the changes in diet and lifestyle required after surgery Have tried other methods of losing weight Be physically and mentally able to undergo surgery Specific testing before surgery and the length of time between referral and surgery can vary based on the person's insurance company. Usually, age alone is not a factor when metabolic and bariatric surgery is being considered. In people under 18, metabolic and bariatric surgery has had good short- and long-term results. Surgery is not appropriate if people Have a mental health disorder that is not under control (such as Depression ) Have a Substance Use Disorders None Have cancer that is not in remission or another life-threatening disorder 