Gastric sleeve - is it still safe for me to have the surgery?

Question

Hi . My bmi is 27.8,147lbs and with hypertension and high cholesterol. I have been consulted with 3 different surgeons and I was qualified for sleeve surgery. So my question now is Am I gonna lose too much weight and is it still safe for me to have the surgery?

Jorge Maytorena, MD · Answer

With that BMI of 27 you are strictly not a candidate for bariatric surgery, but with the history of hypertension and high cholesterol you could consider the possibility of doing a gastric sleeve surgery, removing less stomach, between 50-60%, so that you do not lose much weigh

Ali Solmaz, MD · Answer

With a BMI of 27.8, being approved for sleeve surgery is less common, but it may be justified due to your hypertension and high cholesterol. Typically, the surgery leads to a 50-70% loss of excess weight, but since you have less to lose, your weight loss should be more controlled. The procedure is generally safe, though all surgeries carry risks. Since three surgeons approved you, it’s likely they believe the benefits outweigh the risks. Close follow-up with your medical team will help ensure you don’t lose too much weight and maintain proper nutrition.

Walfre Edwin Guerrero Burgueno, MD · Answer

Hello how are you?
According to the American bariatric surgery guidelines, a person is a candidate for bariatric surgery:- BMI 30 or more, and the person has any disease, such as: diabetes, high blood pressure, high cholesterol or high triglycerides, sleep apnea, polycystic ovary syndrome, and others.
- BMI 35 or more, even if the person does not have any disease.
Strictly speaking, you would not be a candidate for bariatric surgery. However, it is important to emphasize that if you have already tried multiple diets, exercise and/or medications for weight loss, and if these have failed despite multiple attempts, whether it would be worth considering weight loss surgery, and because you have multiple comorbidities. It is important to mention that we must individualize each patient.
If you follow all the recommendations of the entire multidisciplinary team, you can reach your goal weight and control your comorbidities. Without the need to suffer from malnutrition and/or lose weight extremely, it is very important to. be in communication with your bariatric surgeon, nutritionist, psychologist, etc. to guide your weight loss process.

Riza Ozdemir, MD · Answer

In gastric sleeve surgery, excessive weight loss is not observed, just necessary amount of weight will be lost. Because only the enlarged part of the stomach is removed.When the patient believes they have reached their ideal weight, our dietitian can adjust the diet plan to stop weight loss.

Edgar Serrano, MD · Answer

Gastric sleeve surgery, even for individuals with a BMI of 27 with hypertension and high cholesterol, can be safe and effective. While traditionally reserved for those with higher BMIs, recent research suggests its viability for lower BMI patients with comorbidities like hypertension and high cholesterol. The procedure reduces stomach size, limiting food intake, and can lead to significant weight loss and improvement in associated conditions. However, thorough preoperative assessment and multidisciplinary care are crucial to mitigate risks and optimize outcomes. Close postoperative monitoring ensures proper recovery and management of any complications. Overall, gastric sleeve surgery can offer substantial benefits for individuals with a BMI of 27 and comorbidities, improving both weight and health outcomes. 
A better option if you want to avoid scars is the single incision gastric sleeve.

Gastric sleeve - is it still safe for me to have the surgery?

Answers (6)

Answer: How weight loss is arranged

Answer: How weight loss is arranged

Answer: Gastric sleeve surgery, even for individuals with a BMI of 27 can be safe and effective.

Answer: Gastric sleeve surgery, even for individuals with a BMI of 27 can be safe and effective.

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Everything you need to know about Gastric Sleeve Surgery

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Gastric sleeve - is it still safe for me to have the surgery?

Answers (6)

Answer: How weight loss is arranged

Answer: How weight loss is arranged

Answer: Gastric sleeve surgery, even for individuals with a BMI of 27 can be safe and effective.

Answer: Gastric sleeve surgery, even for individuals with a BMI of 27 can be safe and effective.

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Recommended reading

Everything you need to know about Gastric Sleeve Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.