Indications for Metabolic and Bariatric Surgery
Publication Date: October 20, 2022
Last Updated: October 24, 2022
Key Takeaways
Major updates to 1991 National Institutes of Health guidelines for bariatric surgery
- Metabolic and bariatric surgery (MBS) is recommended for individuals with a body mass index (BMI) ≥35 kg/m2, regardless of presence, absence, or severity of co-morbidities.
- MBS should be considered for individuals with metabolic disease and BMI of 30-34.9 kg/m2.
- BMI thresholds should be adjusted in the Asian population such that a BMI ≥25 kg/m2 suggests clinical obesity, and individuals with BMI ≥27.5 kg/m2 should be offered MBS.
- Long-term results of MBS consistently demonstrate safety and efficacy.
- Appropriately selected children and adolescents should be considered for MBS.
Title
Indications for Metabolic and Bariatric Surgery
Authoring Organizations
American Society for Metabolic and Bariatric Surgery
International Federation for the Surgery of Obesity and Metabolic Disorders