Fast Five Quiz: Are You Prepared to Face the Obesity Epidemic?

Romesh Khardori, MD, PhD


September 17, 2015

Although bariatric surgery is the only therapeutic method associated with significant and rapid weight loss, it is expensive, highly procedure- and surgeon- specific, and certainly not the solution for the burgeoning obesity epidemic. Patient selection for bariatric procedures must be addressed along the same stringent lines as those discussed earlier for the selection of patients for medical weight-management programs.

At a minimum, patients should be considered candidates for these procedures only if they have a BMI > 40 kg/m2 and/or a weight > 45 kg above the age-defined and sex-defined ideal weight. For persons with a BMI of 35-40 kg/m2, at least one major comorbidity must be present to justify these procedures. The presence of comorbidities is not a contraindication to bariatric surgical procedures; however, the patient's condition must be stabilized and adequately treated before surgery.

For more on the treatment of obesity, read here.

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