Bariatric (Weight Loss) Surgery
Lauren A. Poliakin, M.D. would like to be your partner in health care. Feel free to ask your questions and share your concerns with us. We will work with you to develop a wellness program for the care and treatment you need.
Indications for bariatric surgery:
Adults (Age > 18)
1. Body mass index (BMI) ≥40 kg/m2 without comorbid illness.
2. BMI 35.0 to 39.9 kg/m2 with at least one serious comorbidity, including but not limited to:
•Type 2 diabetes.
•Obstructive sleep apnea (OSA).
•Obesity-hypoventilation syndrome (OHS).
•Pickwickian syndrome (combination of OSA and OHS).
•Nonalcoholic fatty liver disease (NAFLD).
•Nonalcoholic steatohepatitis (NASH).
•Gastroesophageal reflux disease.
•Venous stasis disease.
•Severe urinary incontinence.
•Impaired quality of life.
•Disqualification from other surgeries as a result of obesity (ie, surgeries for osteoarthritic disease, ventral hernias, or stress incontinence).Adolescents (Age < 18)
- BMI ≥120 percent of the 95th percentile for BMI for age or BMI ≥35 kg/m2 with a severe comorbidity that has significant effects on health: moderate to severe obstructive sleep apnea (OSA), type 2 diabetes mellitus, pseudotumor cerebri, or severe and progressive steatohepatitis.
- BMI ≥140 percent of the 95th percentile of BMI for age or BMI ≥ 40 kg/m2 with any obesity-related comorbidity or self-reported quality-of-life impairment.