2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery

Dan Eisenberg(VA Palo Alto Health Care System), Scott A. Shikora(Brigham and Women's Hospital), Edo O. Aarts, Ali Aminian(Cleveland Clinic), Luigi Angrisani(University of Naples Federico II), Ricardo V. Cohen(Hospital Alemão Oswaldo Cruz), Maurizio De Luca, Sílvia Leite Faria(Universidade de Brasília), Kasey Goodpaster(Cleveland Clinic), Ashraf Haddad(Jordan Hospital), Jacqués Himpens(Centre Hospitalier Interrégional Edith Cavell), Lilian Kow(Flinders University), Marina Kurian(New York University), Ken Loi(Sutherland Hospital), Kamal Mahawar(Sunderland Royal Hospital), Abdelrahman Nimeri(Carolinas Medical Center), Mary O’Kane(Leeds Teaching Hospitals NHS Trust), Pavlos Papasavas(Hartford Hospital), Jaime Ponce(CHI Memorial Medical Group), Janey S.A. Pratt(Lucile Packard Children's Hospital), Ann M. Rogers(Penn State Milton S. Hershey Medical Center), Kimberley E. Steele(National Institutes of Health), Michel Suter(Hôpital Riviera-Chablais), Shanu N. Kothari(Prisma Health)
Obesity Surgery
November 7, 2022
10.1007/s11695-022-06332-1
Cited by 623Open Access
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Abstract

Major updates to 1991 National Institutes of Health guidelines for bariatric surgery Metabolic and bariatric surgery (MBS) is recommended for individuals with a body mass index (BMI) > 35 kg/m 2 , regardless of presence, absence, or severity of co-morbidities. MBS should be considered for individuals with metabolic disease and BMI of 30-34.9 kg/m 2 . BMI thresholds should be adjusted in the Asian population such that a BMI > 25 kg/m 2 suggests clinical obesity, and individuals with BMI > 27.5 kg/m 2 should be offered MBS. Long-term results of MBS consistently demonstrate safety and efficacy. Appropriately selected children and adolescents should be considered for MBS. (Surg Obes Relat Dis 2022; https://doi.org/10.1016/j.soard.2022.08.013 ) © 2022 American Society for Metabolic and Bariatric Surgery. All rights reserved.

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