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

Dan Eisenberg; Scott A Shikora; Edo Aarts; Ali Aminian; Luigi Angrisani; Ricardo V Cohen; Maurizio de Luca; Silvia L Faria; Kasey P S Goodpaster; Ashraf Haddad; Jacques M Himpens; Lilian Kow; Marina Kurian; Ken Loi; Kamal Mahawar; Abdelrahman Nimeri; Mary O'Kane; Pavlos K Papasavas; Jaime Ponce; Janey S A Pratt; Ann M Rogers; Kimberley E Steele; Michel Suter; Shanu N Kothari

doi:10.1007/s11695-022-06332-1

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

Obes Surg. 2023 Jan;33(1):3-14. doi: 10.1007/s11695-022-06332-1.

Authors

Dan Eisenberg¹, Scott A Shikora², Edo Aarts³, Ali Aminian⁴, Luigi Angrisani⁵, Ricardo V Cohen⁶, Maurizio de Luca⁷, Silvia L Faria⁸, Kasey P S Goodpaster⁴, Ashraf Haddad⁹, Jacques M Himpens¹⁰, Lilian Kow¹¹, Marina Kurian¹², Ken Loi¹³, Kamal Mahawar¹⁴, Abdelrahman Nimeri¹⁵, Mary O'Kane¹⁶, Pavlos K Papasavas¹⁷, Jaime Ponce¹⁸, Janey S A Pratt^{19

20}, Ann M Rogers²¹, Kimberley E Steele²², Michel Suter^{23

24}, Shanu N Kothari²⁵

Affiliations

¹ Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue, GS 112, Palo Alto, CA, 94304, USA. daneisenberg@stanford.edu.
² Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.
³ WeightWorks Clinics and Allurion Clinics, Amersfoort, The Netherlands.
⁴ Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
⁵ Department of Public Health, University of Naples Federico II, Naples, Italy.
⁶ Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, Sao Paolo, Brazil.
⁷ Department of Surgery, Rovigo Hospital, Rovigo, Italy.
⁸ Gastrocirurgia de Brasilia, University of Brasilia, Brasilia, Brazil.
⁹ Gastrointestinal Bariatric and Metabolic Center, Jordan Hospital, Amman, Jordan.
¹⁰ Department of Surgery, Delta CHIREC Hospital, Brussels, Belgium.
¹¹ Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.
¹² Department of Surgery, New York University Grossman School of Medicine, New York, NY, USA.
¹³ St. George Hospital and Sutherland Hospital, Kogarah, New South Wales, Australia.
¹⁴ Department of General Surgery, Sunderland Royal Hospital, Sunderland, UK.
¹⁵ Department of Surgery, Carolinas Medical Center, University of North Carolina, Charlotte, NC, USA.
¹⁶ Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
¹⁷ Division of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, CT, USA.
¹⁸ Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.
¹⁹ Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue, GS 112, Palo Alto, CA, 94304, USA.
²⁰ Division of Pediatric Surgery, Lucille Packard Children's Hospital, Palo Alto, CA, USA.
²¹ Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
²² NIDDK Metabolic and Obesity Research Unit, National Institutes of Health, Bethesda, MD, USA.
²³ Department of Surgery, Riviera-Chablais Hospital, Rennaz, Switzerland.
²⁴ Department of Visceral Surgery, University Hospital, Lausanne, Switzerland.
²⁵ Prisma Health, Department of Surgery, University of South Carolina School of Medicine, Greenville, SC, USA.

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/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.(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.

Keywords: ASMBS; Criteria; IFSO; Indications; Metabolic and bariatric surgery; Obesity.

© 2022. The Author(s). Published by Elsevier Inc on behalf of American Society for Metabolic & Bariatric Surgery (ASMBS) and Springer Nature on behalf of International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO).

MeSH terms

Adolescent
Bariatric Surgery* / methods
Body Mass Index
Child
Humans
Metabolic Diseases* / surgery
Obesity / complications
Obesity / surgery
Obesity, Morbid* / surgery
United States / epidemiology