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
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.
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Cite this: Romesh Khardori, Elif A. Oral. Fast Five Quiz: Confronting Obesity - Medscape - Jan 31, 2022.