According to guidelines from the ASMBS, which were cosponsored by the American Association of Clinical Endocrinologists and the Obesity Society, a bariatric procedure should be offered to patients with a BMI of at least 35 kg/m2 and one or more severe obesity-related comorbidities, including:
Type 2 diabetes mellitus
Hypertension
Hyperlipidemia
Obstructive sleep apnea
Obesity hypoventilation syndrome
Nonalcoholic fatty liver disease or nonalcoholic steatohepatitis
Pseudotumor cerebri
Gastroesophageal reflux disease
Asthma
Venous stasis disease
Severe urinary incontinence
Debilitating arthritis
Considerably impaired quality of life
The guidelines also state that patients with a BMI of at least 40 kg/m2 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.
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Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Romesh Khardori. Fast Five Quiz: Confronting Obesity - Medscape - Sep 20, 2019.
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