Requirements for Bariatric Surgery

Before undergoing bariatric surgery, certain medical criteria must be met to ensure patient safety and procedure effectiveness. Dr. Cesar Hernandez Elenes in Mexicali performs a comprehensive evaluation to determine each patient's eligibility.

Body Mass Index (BMI)

The main criterion is BMI. Generally, bariatric surgery is indicated for patients with a BMI of 40 or higher (morbid obesity), or a BMI of 35 or higher when comorbidities such as type 2 diabetes, high blood pressure, sleep apnea, or joint disease are present. In special cases, Dr. Hernandez may consider patients with a BMI between 30 and 35 with significant metabolic comorbidities.

Complete Medical Evaluation

Complete laboratory studies are required, including complete blood count, blood chemistry, thyroid panel, liver and kidney function tests. An endoscopy is also requested to evaluate the stomach condition and rule out ulcers or Helicobacter pylori infections. Imaging studies such as chest X-ray and electrocardiogram complement the evaluation.

Nutritional Evaluation

Consultation with the nutritionist on Dr. Cesar Hernandez's team in Mexicali is essential. Eating habits and existing nutritional deficiencies are evaluated, and a pre-surgical plan is established. The patient must demonstrate understanding of the dietary changes they will need to adopt for life after surgery.

Psychological Evaluation

Mental health is an essential component. A psychological evaluation is performed to identify eating disorders, depression, anxiety, or other conditions that could affect outcomes. The goal is not to disqualify anyone, but to ensure the patient has the emotional tools necessary for the process.

Other Important Requirements

Being between 18 and 65 years of age is required (with exceptions evaluated case by case). Not being an active smoker or committing to quit smoking at least 4 weeks before surgery. No substance abuse problems. Having previously attempted weight loss through conventional means without lasting success. Committing to post-surgical follow-up and lifestyle changes.

The Evaluation Process in Mexicali

Dr. Cesar Hernandez Elenes offers a complete evaluation at his clinic in Mexicali. For international patients, preliminary consultations can be conducted via video call and prior studies can be coordinated. The goal is for each patient to arrive at surgery in the best possible condition to guarantee optimal and safe results.