New, more realistic, surgery guidelines

Spiky Bugger

Well-Known Member
Jan 5, 2014
This was published a month ago, but I missed it.

Highlights of the changes
The new standards significantly lower the eligibility threshold, strongly recommending MBS for patients with a BMI ≥35 kg/m2 (class 2 obesity), regardless of whether comorbidities are present. The guidance also strongly recommends MBS for patients with BMI ≥30kg/m2 and type 2 diabetes. In patients with class 1 obesity (BMI 30-34.9 kg/m2), the panel says MBS should be considered if an initial trial of nonsurgical therapy is unsuccessful in achieving substantial, durable weight loss and resolving comorbidities such as hypertension, cardiovascular disease, chronic kidney disease or fatty liver disease.

so MBS stands for Metabolic and Bariatric Surgery? I hadn't heard that.

I'm glad they are broadening the criteria, that needs to happen

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