Laparoscopic Roux-en-Y Gastric Bypass

摘要

According to internationally accepted criteria, the indications for bariatxic surgery are a BMI >40 kg/m (in exceptional cases: BMI >35 kg/m2 with pronounced comorbidity). The National Institutes of Health (NIH) criteria of 1991 also stipulate several failed non-surgical attempts at weight reduction under the guidance of a physician over a period of two or more years, the absence of surgical contraindications or concomitant disease, the approval of the health insurance carrier for coyering the costs, and the patient's written informed consent. Nevertheless, limits to the indication for surgery continue to be the subject of active discussion. For example, diabetes specialists suggest a BMI level of 32 kg/m2 in patients with type 2 diabetes as an indication for surgery,