Skill Checkup: A 43-Year-Old Woman Gains Weight After the Initial Weight Loss Achieved With Diet and Exercise

Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS; Evelyn S. Marienberg, MD


November 14, 2023

The patient's BMI of 40.9 makes her a good candidate for bariatric surgery.

Major updates to the 1991 National Institutes of Health guidelines for bariatric surgery from the American Society of Metabolic and Bariatric Surgery and International Federation for the Surgery of Obesity and Metabolic Disorders Indications for Metabolic and Bariatric Surgery state, "Metabolic and bariatric surgery is recommended for individuals with a BMI > 35 kg/m2, regardless of presence, absence, or severity of comorbidities." According to the latest Endocrine Society guidelines on the treatment of obesity, bariatric surgery can be used as an adjunct to behavioral modification to reduce food intake and increase physical activity, when possible.

The patient expresses interest in learning more about bariatric surgery. The physician refers her to an experienced bariatric surgeon for consultation and evaluation. When she meets with the bariatric surgeon, they discuss successful weight reduction.


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