PATIENT TREATMENT COURSE
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INDICATIONS FOR SURGICAL TREATMENT
SURGERY AND OBESITY: INDICATIONS
Weight-loss surgery, known as bariatric surgery (from the Greek terms "baros" meaning "weight") represents a treatment strategies for dealing with obesity. The guidelines provide by the Consensus Conference of the National Institute of Health have established the following criteria of eligibility for surgical treatment:
INDICATIONS
- age between 18 - 60 (this limit is not absolute)
- BMI > 40 - BMI between 35 - 40 but accompanied by:
- pathologies associated with high-risk of death:
- hypertensio 
- diabetes - heart failure - osteoarthritis
- dyslipidaemia
- sleep apnoea syndrome
- need for weight loss in order to undergo orthopaedic surgery
- severe psychological discomfort caused by obesity limiting social life and social skills.
CONTRAINDICATIONS
ABSOLUTE:
- Obesity associated with endocrine diseases
- Major psychiatric disorders:
- Borderline personality disorder (BPD)
- Schizophrenia
- Severe active depression
- Uncontrolled eating disorders (binge eating)
- Drug and alcohol abuse
- Poor compliance of the patient to a long follow-up
- High-risk surgical patients
- Pregnancy
RELATIVE:
- cirrhosis of the liver
- organ transplant patients
- cancer patients
- CRI patients in dialysis