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Dr. George S. Ferzli, M.D. F.A.C.S.
65 Cromwell Avenue
Staten Island, NY

Obesity Surgery

What is obesity?

Obesity is a serious disease that can lead to other severe health problems and may even lead to early death. Obesity is now considered an epidemic in the US. It is associated with a wide range of medical problems (or comorbidities) including hypertension, heart disease, diabetes, obstructive sleep apnea, arthritis, gastroesophageal reflux disease and high cholesterol among others. Obesity is measured by the Body Mass Index or BMI. This is a calculation using weight and height to characterize the severity of a person’s obesity. BMI = weight (kg) / height (m2).

How is a person’s weight characterized according to BMI?

Category of weight BMI
Normal 18.5-24.9
Overweight 25-29.9
Obesity 30-34.9
Morbid obesity 35-44.9
Super Obesity > 45

What is Bariatric Surgery?
Bariatric surgery is surgery that is performed on the gastrointestinal tract of the morbidly obese patient with the goal of achieving long-term weight loss. Bariatric surgery has been clearly shown to effectively reduce weight in the morbidly obese and to achieve significant improvement and even cure of many of the obesity related comorbidities. Recent studies have even shown that bariatric surgery increases life span in the morbidly obese.

Patients that have a BMI of 35 and one or more comorbidities, or patients with a BMI of 40 or more, are eligible for bariatric surgery.

There are a variety of surgical techniques for bariatric surgery. The most common and accepted techniques are the laparoscopic roux-en-y gastric bypass, and the laparoscopic band.

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