Transit Bipartition Surgery
Classification of Obesity.
Classification of Obesity (based on the data from the Ministry of Health and the World Health Organization)
Too Thin BMI < 18,6
Normal Weight BMI = 18,6 ~ 24,9
Overweight BMI = 25 ~ 29,9
1st Degree OBESE BMI = 30 ~ 34,9
2nd Degree OBESE BMI = 35 ~ 39,9
3rd Degree OBESE BMI > 40
Morbid obesity, i.e. obesity that has reached a point considered to be a disease, is a term used in case of a BMI greater than 40 or a BMI of 35 when associated with comorbidities.
Cost of Obesity
Being Overweight Highly Unbalances the Budget
Obesity is reaching epidemic proportions in the world. The worst part it is that the costs of obesity increase faster than Obesity. According to a study conducted in the United States, the rate of obese individuals was less than 20% in 1998, while the obesity-related costs were $ 78 billion. In 2008, more than one-third of the American population was obese and the total cost of obesity was $ 147 billion. In conclusion, according to estimates, half of the American population will be obese, and the obesity-related costs will be $ 190 billion by 2019.
Medical Cost of Obesity
The costs caused by obesity are innumerable but I will give a few examples of medical costs of obesity below.
- Costs for the treatment of type 2 diabetes: Medicine and examination fee
- For balancing the blood pressure and cholesterol levels: drug and surgery costs
- For the treatment of sleep apnea: special devices, drug and surgery costs
- For the treatment of joint disorders: special shoes, special clothes, drug and surgery costs
Non-Medical Cost of Obesity
We all know the medical costs of obesity. But you will be surprised when you learn the fact that the main costs are the non-medical costs. These costs can include many things from the inefficiency in your working life to an unexpected accident. In a study conducted in the United States again, overweight individuals were found to be less efficient at work. The researchers observed that compared to normal weight individuals, obese individuals took 7 more sick days per year, and that the proportion increased up to 10 days among women. In addition, it was ascertained that they felt more tired due to their sleep apnea and excess weight, in the days when they worked. The result of the research showed that an obese employee costed 1,000 to 1,200 dollars to the company.
- If he flies by plane, he has to choose business class because he cannot fly with economy class due to his excess weight.
- If he goes by bus, he has to buy an extra seat.
- Since normal clothes are not compatible, he buys special clothes.
- His furniture wears off more frequently.
- He needs to take a taxi because he cannot walk too much.
- Since he gets hungry frequently, his food and kitchen expenses will be higher.
- Because he cannot be satiated with a single portion, he needs to buy double portion…
- The examples given above are only material examples. It goes without saying that there is also moral, psychological and spiritual wear and tear. You’d better take a step to get rid of obesity.
Surgical Patient Selection Criteria
In people at the age of 18 years or over;
- Body Mass Index (BMI) greater than 40, or between 35 and 40 when there is a comorbid disease,
- Presence of long-lasting obesity,
- Non-presence of hormonal disorders,
- Previous failure in weight-loss,
- Not being addicted to alcohol and drugs.
In people at the age of 12-17 years or over;
Since statistically more than 80% of obese adolescents aged 12–17 years will become obese adults, some medical centers offer surgery to this age group under in certain conditions.
- These conditions are as follows:
- Body Mass Index (BMI) greater than 50, or greater than 40 when there are comorbid diseases,
- Completed skeletal development,
- The level of consciousness adequate to understand and get adapted to the procedure,
- A supportive family.