Frenchfr-FREnglish (UK)

Do I apply?

The obesity surgery, or else called bariatric or weight-loss surgery, started to develop and progress constantly in the mid 90’s. Obesity appeared in the USA after World War 2 and spread in Occident. The World Health Organization has formally recognized it as a global epidemic in 1997. It widely increased in Western Europe in the last 30 years. It concerns actually almost 10% of the French People and about 20% in North America. Theses increases are of great concern due to the medical associated pathologies: diabetes, cardiovascular diseases, osteoarthritis, sleep apnoea, cancers, etc. In addition to its health impacts, obesity leads to many social problems: disadvantages in employment, social stigmatization and discrimination. The effects are not always seen and recognized and vary from a person to another. Obesity is nowadays a major public health concern.

Efficiency ?

The only today’s proven effective treatment to obesity is surgery in the present state of medical knowledge. If with some co-morbidity, it shows significant results through its different procedures. Surgery helps patients to lose weight in an efficient and sustainable way. Expected loss varies from 50 to 75 % of the excess weight more than ten years after the operation. Surgery is an effective alternative to medicines and diets. Todays, these two types of treatments often prove inefficient if not dangerous for one’s health. Surgical procedures have been able to develop thanks to the huge technological progress during the last 20 years: coelioscopy, mini-invasive surgery, progress in anaesthesia and reanimation. Initially a heavy and high-risk surgery, it is now well tolerated by most patients, with fewer serious complications even if not down to none.

For Who, Why ?

Obesity surgery is indicated for adult patients aged 18 to 65 presenting all of the following conditions: :

  • Patients with a BMI ≥ 40 kg/m2 or with a BMI ≥ 35 kg/m2 combined with at least one comorbidity that is likely to improve following surgery (in particular high blood pressure, obstructive sleep apnoea syndrome (OSAS) and other severe respiratory disorders, severe metabolic disorders, in particular type 2 diabetes, incapacitating joint disorders, non-alcoholic steatohepatitis)
  • Patients who have attempted to lose weight without success by non operative means (medical, nutritional, dietetic and psychotherapeutic treatment) properly conducted for several months
  • Well-informed patients with acceptable operating risk, having undergone multidisciplinary preoperative assessment and management

To consult a specialized surgeon is an adequate first step. He will tell you if you apply for weight loss surgery. If yes, you will have then to meet the multidisciplinary team for a complete assessment of your health.

Vidéos

To find out more, we recommand you these 2 vidéos:

More in this category: « My Surgery FAQ »