More Doctors are Realizing the Benefits of Bariatric Surgery as a Treatment for Obesity

Obesity has become an increasing problem in recent decades.  Recently, a National Health and Nutrition Examination Survey revealed that 75 percent of adults were considered overweight, obese, or extremely obese.  Closer examination of the data showed that one in three (35.7%) adults are considered obese, while one in twenty adults are considered extremely obese (6.3%).  Obesity can make daily life a struggle and also put a person at risk for developing additional health issues due to the extra weight.  Doctors recommend diet and exercise as a first approach to weight reduction. If these methods do not work, experts like Dr. Christine Ren-Fielding and her colleagues may recommend gastric surgery for weight loss.

Body Mass Index and Other Factors Considered Before Recommending Bariatric Surgery

Body mass index (BMI) alone is not a good indicator of a person’s fitness and health.  It is one consideration in determining an overall course of treatment for obesity.  BMI can be found using the following chart:

Dietary modification and exercise are always recommended as a first approach to weight loss. If these changes have proven unsuccessful and BMI criteria are met, gastric surgery may be recommended. Doctors typically consider bariatric surgery for patients whose BMI exceeds 40. It may also be recommended for patients with a BMI of 35 who also have obesity-related health issues such as:

• High blood pressure
• High cholesterol
• Type 2 diabetes
• Sleep apnea
• Arthritis
• Chronic venous insufficiency (blood pools in lower limbs)
• Soft tissue infections

Untreated obesity further leaves patients at risk for developing:

• Stroke
• Metabolic syndrome
• Gallbladder disease
• Fatty liver disease
• Certain cancers
• Sexual health issues
• Infertility

Obesity can also lead to emotional and mental health issues.  The extra weight may make it difficult to participate in previously enjoyed activities and diminish overall quality of life.  This may lead to:

• Development of anxiety and depression
• Social isolation
• Physical disabilities
• Sexual issues

Consultations with Dr. Christine Ren-Fielding Regarding Surgery for Weight Loss

If you or a loved one is obese or struggling with weight-related health issues, please contact Dr. Christine Ren-Fielding at the NYU Langone Weight Management Program for an evaluation for gastric surgery for weight loss.