Selection criteria for  bariatric surgery in most areas include:

• BMI ≥ 40 kg/m2, or more than 45.35 kg (100 pounds) overweight.

• BMI ≥ 35 kg/m2 and at least one or more obesity-related comorbidities such as type 2 diabetes mellitus (DM2), arterial hypertension, sleep apnea and other respiratory disorders, nonalcoholic fatty liver disease, osteoarthritis, lipid abnormalities, disorders gastrointestinal or heart disease.

• Inability to achieve sustained healthy weight loss over a period of time with previous weight loss efforts.

• Absence of a secondary cause of obesity.

• Willingness to cooperate with long-term follow-up.

• Acceptable operative risk.

• Not recommended yet for those under 18 or over 60 years old.

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