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Q: Obesity and Gastric Bypass Surgery
asked by: DoctorQuestion on June 15th, 2007
my husband is healthy has no medical issues, is 27 and has been overweight his whole life, but both his parents have diabetes and obesity runs in his family. he is 5'10 and weighs 347lbs. he works for fedex and walks all the time but he has difficulty staying on diets cause he has to eat out all the time and is way to tired to exercise cause he works 12 hrs. we've tried dieting but it wont help. the most he's ever lost was 20lbs and he gained it and more back. it's ruining our relationship. since i got married i fell into the same rut as him and gained 60lbs so it's very difficult for me to help him now, cause i need help too. we have a son who is perfect and is only five months, we don't want him to be overweight and my husband is considering bypass surgery but were very afraid of it. what is your advice? please help.... if bypass surgery is not for us then what?


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Dr. Nikola Gjuzelov , MD
replied on June 26th, 2007
Fitness Answer A2961
Gastric Bypass is indicated for the surgical treatment of morbid obesity. Morbid obesity is a medical condition wherein a person is seriously obese, has been unable to achieve satisfactory and sustained weight loss by dietary efforts, and is suffering from co-morbid conditions which are either life-threatening or a serious impairment to the quality of life. Co-morbid conditions include: atherosclerotic cardiovascular disease, diabetes mellitus type 2, hypertension, obstructive sleep apnea, gastroesophageal reflux disease (GERD), gallbladder disease, liver disease, venous thromboembolic disease and osteoarthritis of the spine (spondylosis), knees and hips.


Indications for gastric bypass surgery are:


1. Having a Body mass index (BMI) greater than 40 or,


2. Having a BMI greater than 35 but accompanied by one or more of obesity’s co-morbid conditions.





Your husband’s BMI is 50 and he is much likely a candidate for gastric bypass surgery. But the final recommendation for gastric bypass surgery has to be given by a team of doctors that includes surgeons and internists. Gastric bypass surgery is one of the most efficient methods for treating morbid obesity.


Like in any abdominal surgical intervention there are always some risks for complications including death. The risks that a person develop a surgical complication from this surgery are around 10%. Complications include those that are present in any other abdominal operation... but there are also some complications specific only to this type of surgical intervention. The risk of death after this surgery is 0.2% but it is due not only to the surgical intervention itself but also to the pre-existing co-morbid conditions.













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