Fast Five Quiz: Confronting Obesity

Romesh Khardori, MD, PhD; Elif A. Oral, MD


January 31, 2022

According to the 2019 guidelines from the ASMBS, which were cosponsored by the American Association of Clinical Endocrinologists/American College of Endocrinology, the Obesity Society, the Obesity Medicine Association, and the American College of Anesthesiologists, bariatric procedure should be offered to patients with a body mass index (BMI) of at least 35 and one or more severe obesity-related comorbidities, including:

  • Type 2 diabetes

  • Hypertension

  • Obstructive sleep apnea

  • Obesity hypoventilation syndrome

  • Nonalcoholic fatty liver disease or nonalcoholic steatohepatitis

  • Osteoarthritis of the knee or hip

  • Urinary stress incontinence

  • Gastroesophageal reflux disease

  • Venous stasis disease

  • Severe urinary incontinence

  • Life-limiting mobility impediment

  • Considerably impaired quality of life

The guidelines also state that patients with a BMI of at least 40 who do not have coexisting medical problems and for whom bariatric surgery would not be associated with excessive risk are eligible for bariatric procedures. Evidence is insufficient to recommend a bariatric surgical procedure specifically for glycemic control alone, lipid level lowering alone, or cardiovascular disease risk reduction alone, independent of BMI criteria.

Learn more about bariatric surgery.


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