» Articles » PMID: 36336720

2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery

Abstract

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/m, 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/m.BMI thresholds should be adjusted in the Asian population such that a BMI >25 kg/m suggests clinical obesity, and individuals with BMI >27.5 kg/m should be offered MBS.Long-term results of MBS consistently demonstrate safety and efficacy.Appropriately selected children and adolescents should be considered for MBS.(Surg Obes Relat Dis 2022; https://doi.org/10.1016/j.soard.2022.08.013 ) © 2022 American Society for Metabolic and Bariatric Surgery. All rights reserved.

Citing Articles

Esophageal high-resolution manometry and 24 h pH-impedance monitoring normative values in patients with obesity candidate for bariatric and metabolic surgery.

Tolone S, Savarino E, De Bortoli N, Lucido F, Gambardella C, Brusciano L Updates Surg. 2025; .

PMID: 40080355 DOI: 10.1007/s13304-025-02167-4.


Predicting pregnancy at the first year following metabolic-bariatric surgery: development and validation of machine learning models.

Moradi R, Kashanian M, Yarigholi F, Pazouki A, Sheikhtaheri A Surg Endosc. 2025; .

PMID: 40064691 DOI: 10.1007/s00464-025-11640-5.


Effects of Weight Loss on Endothelium and Vascular Homeostasis: Impact on Cardiovascular Risk.

Tiezzi M, Vieceli Dalla Sega F, Gentileschi P, Campanelli M, Benavoli D, Tremoli E Biomedicines. 2025; 13(2).

PMID: 40002792 PMC: 11853214. DOI: 10.3390/biomedicines13020381.


Surgical Strategies for the Management of Obesity.

Au C, Brumer R, Schroer J, Tariq N Methodist Debakey Cardiovasc J. 2025; 21(2):84-93.

PMID: 39990754 PMC: 11844048. DOI: 10.14797/mdcvj.1513.


Too Late for a Duodenal Switch? Safety and Effectiveness of Duodenal Switch in Patients over 60 Years Old.

Motola D, Hage K, MacDonald N, Lind R, Goncalves G, Jawad M Obes Surg. 2025; 35(3):790-798.

PMID: 39960607 DOI: 10.1007/s11695-025-07687-x.


References
1.
Adams T, Gress R, Smith S, Halverson R, Simper S, Rosamond W . Long-term mortality after gastric bypass surgery. N Engl J Med. 2007; 357(8):753-61. DOI: 10.1056/NEJMoa066603. View

2.
Watt J, Tricco A, Talbot-Hamon C, Pham B, Rios P, Grudniewicz A . Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis. BMC Med. 2018; 16(1):2. PMC: 5765656. DOI: 10.1186/s12916-017-0986-2. View

3.
Carter J, Chang J, Birriel T, Moustarah F, Sogg S, Goodpaster K . ASMBS position statement on preoperative patient optimization before metabolic and bariatric surgery. Surg Obes Relat Dis. 2021; 17(12):1956-1976. DOI: 10.1016/j.soard.2021.08.024. View

4.
Prachand V, Davee R, Alverdy J . Duodenal switch provides superior weight loss in the super-obese (BMI > or =50 kg/m2) compared with gastric bypass. Ann Surg. 2006; 244(4):611-9. PMC: 1856567. DOI: 10.1097/01.sla.0000239086.30518.2a. View

5.
Ma P, Reddy S, Higa K . Revisional Bariatric/Metabolic Surgery: What Dictates Its Indications?. Curr Atheroscler Rep. 2016; 18(7):42. DOI: 10.1007/s11883-016-0592-3. View