Fast Five Quiz: Confronting Obesity

Romesh Khardori, MD, PhD


September 20, 2019

According to guidelines from the ASMBS, which were cosponsored by the American Association of Clinical Endocrinologists and the Obesity Society, a bariatric procedure should be offered to patients with a BMI of at least 35 kg/m2 and one or more severe obesity-related comorbidities, including:

  • Type 2 diabetes mellitus

  • Hypertension

  • Hyperlipidemia

  • Obstructive sleep apnea

  • Obesity hypoventilation syndrome

  • Nonalcoholic fatty liver disease or nonalcoholic steatohepatitis

  • Pseudotumor cerebri

  • Gastroesophageal reflux disease

  • Asthma

  • Venous stasis disease

  • Severe urinary incontinence

  • Debilitating arthritis

  • Considerably impaired quality of life

The guidelines also state that patients with a BMI of at least 40 kg/m2 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.

Read more about bariatric surgery.


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