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Laparoscopic sleeve gastrectomy with duodeno-ileostomy is a newer bariatricmetabolic procedure. Presently it is being used mainly as a second stage procedure for patients with inadequate weight loss or weight regain after a sleeve gastrectomy. As per the IFSO-APC guidelines, if your BMI is more than 37.5 Kgm2 (BMI- weight in kgheight in m2), you can undergo a bariatric surgery in the absence of any associated illnesses. You can also undergo bariatric surgery if your BMI is ≥ 32.5 Kgm2 and you have 2 or more obesity associated diseases like type 2 diabetes, high blood pressure, high cholesterol etc. As per the new DSS guidelines formed by a group of international diabetes federations in London, bariatricmetabolic surgery may also be considered as a treatment option for control of diabetes in patients with class I obesity (BMI- 27.5-32.5 Kgm2) if their diabetes is poorly controlled.

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