Scientific Evidence for the Updated Guidelines on Indications for Metabolic and Bariatric Surgery (IFSO/ASMBS)

Maurizio De Luca¹, Scott Shikora², Dan Eisenberg³, Luigi Angrisani⁴, Chetan Parmar⁵, Aayed Alqahtani⁶, Ali Aminian⁷, Edo Aarts⁸, Wendy Brown⁹, Ricardo V Cohen¹⁰, Nicola Di Lorenzo¹¹, Silvia L Faria¹², Kasey P S Goodpaster¹³, Ashraf Haddad¹⁴, Miguel Herrera¹⁵, Raul Rosenthal¹⁶, Jacques Himpens¹⁷, Angelo Iossa¹⁸, Mohammad Kermansaravi¹⁹, Lilian Kow²⁰, Marina Kurian²¹, Sonja Chiappetta²², Teresa LaMasters²³, Kamal Mahawar²⁴, Giovanni Merola²⁵, Abdelrahman Nimeri², Mary O'Kane²⁶, Pavlos Papasavas²⁷, Giacomo Piatto²⁸, Jaime Ponce²⁹, Gerhard Prager³⁰, Janey S A Pratt³, Ann M Rogers³¹, Paulina Salminen³², Kimberley E Steele³³, Michel Suter³⁴, Salvatore Tolone³⁵, Antonio Vitiello³⁶, Marco Zappa³⁷, Shanu N Kothari³⁸

Affiliations

¹ Department of General Surgery, Rovigo Hospital, Rovigo, Italy. nnwdel@tin.it.
² Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital , and Harvard Medical School, Boston, MA, USA.
³ Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue , GS 112, Palo Alto, CA, 94304, USA.
⁴ Department of Public Health, Federico II University of Naples, Naples, Italy.
⁵ Whittington Hospital, London, UK.
⁶ New You Medical Center, King Saud University, Riyadh, Saudi Arabia.
⁷ Department of General Surgery, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
⁸ Weight Works Clinics and Allurion Clinics, Amersfoort, The Netherlands.
⁹ Department of Surgery, Central Clinical School, Alfred Health, Monash University, Melbourne, Victoria, Australia.
¹⁰ Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, São Paolo, Brazil.
¹¹ Department of Surgical Sciences, University of Rome "Tor Vergata", Rome, Italy.
¹² Gastrocirurgia de Brasilia, University of Brasilia, Brasilia, Brazil.
¹³ Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
¹⁴ Gastrointestinal Bariatric and Metabolic Center (GBMC), Jordan Hospital, Amman, Jordan.
¹⁵ Endocrine and Bariatric Surgery, UNAM at INCMNSZ, Mexico City, Mexico.
¹⁶ Cleveland Clinic Florida, The Bariatric Institute, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.
¹⁷ Bariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.
¹⁸ Department of Medico Surgical Sciences and Biotechnologies Sapienza Polo Pontino, ICOT Hospital Latina, Latina, Italy.
¹⁹ Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, Iran University of Medical Sciences, Tehran,, Iran.
²⁰ Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.
²¹ Department of Surgery, New York University Grossman School of Medicine, New York, NY, USA.
²² Department of General and Laparoscopic Surgery, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
²³ Department of Surgery, University of Iowa, Iowa City, IA, USA.
²⁴ South Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.
²⁵ General and Laparoscopic Surgery, San Giovanni di Dio Hospital - Frattamaggiore, Naples, Italy.
²⁶ Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
²⁷ Division of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, CT, USA.
²⁸ UOC Chirurgia Generale e d'Urgenza, Ospedale di Montebelluna, Montebelluna, Italy.
²⁹ Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.
³⁰ Medical University of Vienna, Vienna, Austria.
³¹ Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
³² Division of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Turku, Finland.
³³ NIDDK Metabolic and Obesity Research Unit, National Institutes of Health, Bethesda, MD, USA.
³⁴ Department of Visceral Surgery, University Hospital, Lausanne, Switzerland.
³⁵ Seconda Università di Napoli, Naples, Italy.
³⁶ Department of Advanced Biomedical Sciences, Università Degli Studi Di Napoli "Federico II", Naples, Italy.
³⁷ General Surgery Unit, Asst Fatebenefratelli-Sacco Milan, Milan, Italy.
³⁸ Department of Surgery, Prisma Health, University of South Carolina School of Medicine, Greenville, SC, USA.

PMID: 39320627
PMCID: PMC11541402
DOI: 10.1007/s11695-024-07370-7

Scientific Evidence for the Updated Guidelines on Indications for Metabolic and Bariatric Surgery (IFSO/ASMBS)

Maurizio De Luca et al. Obes Surg. 2024 Nov.

. 2024 Nov;34(11):3963-4096.

doi: 10.1007/s11695-024-07370-7. Epub 2024 Sep 25.

Authors

Affiliations

¹ Department of General Surgery, Rovigo Hospital, Rovigo, Italy. nnwdel@tin.it.
² Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital , and Harvard Medical School, Boston, MA, USA.
³ Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue , GS 112, Palo Alto, CA, 94304, USA.
⁴ Department of Public Health, Federico II University of Naples, Naples, Italy.
⁵ Whittington Hospital, London, UK.
⁶ New You Medical Center, King Saud University, Riyadh, Saudi Arabia.
⁷ Department of General Surgery, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
⁸ Weight Works Clinics and Allurion Clinics, Amersfoort, The Netherlands.
⁹ Department of Surgery, Central Clinical School, Alfred Health, Monash University, Melbourne, Victoria, Australia.
¹⁰ Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, São Paolo, Brazil.
¹¹ Department of Surgical Sciences, University of Rome "Tor Vergata", Rome, Italy.
¹² Gastrocirurgia de Brasilia, University of Brasilia, Brasilia, Brazil.
¹³ Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
¹⁴ Gastrointestinal Bariatric and Metabolic Center (GBMC), Jordan Hospital, Amman, Jordan.
¹⁵ Endocrine and Bariatric Surgery, UNAM at INCMNSZ, Mexico City, Mexico.
¹⁶ Cleveland Clinic Florida, The Bariatric Institute, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.
¹⁷ Bariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.
¹⁸ Department of Medico Surgical Sciences and Biotechnologies Sapienza Polo Pontino, ICOT Hospital Latina, Latina, Italy.
¹⁹ Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, Iran University of Medical Sciences, Tehran,, Iran.
²⁰ Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.
²¹ Department of Surgery, New York University Grossman School of Medicine, New York, NY, USA.
²² Department of General and Laparoscopic Surgery, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
²³ Department of Surgery, University of Iowa, Iowa City, IA, USA.
²⁴ South Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.
²⁵ General and Laparoscopic Surgery, San Giovanni di Dio Hospital - Frattamaggiore, Naples, Italy.
²⁶ Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
²⁷ Division of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, CT, USA.
²⁸ UOC Chirurgia Generale e d'Urgenza, Ospedale di Montebelluna, Montebelluna, Italy.
²⁹ Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.
³⁰ Medical University of Vienna, Vienna, Austria.
³¹ Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
³² Division of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Turku, Finland.
³³ NIDDK Metabolic and Obesity Research Unit, National Institutes of Health, Bethesda, MD, USA.
³⁴ Department of Visceral Surgery, University Hospital, Lausanne, Switzerland.
³⁵ Seconda Università di Napoli, Naples, Italy.
³⁶ Department of Advanced Biomedical Sciences, Università Degli Studi Di Napoli "Federico II", Naples, Italy.
³⁷ General Surgery Unit, Asst Fatebenefratelli-Sacco Milan, Milan, Italy.
³⁸ Department of Surgery, Prisma Health, University of South Carolina School of Medicine, Greenville, SC, USA.

PMID: 39320627
PMCID: PMC11541402
DOI: 10.1007/s11695-024-07370-7

Abstract

The 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) updated the indications for Metabolic and Bariatric Surgery (MBS), replacing the previous guidelines established by the NIH over 30 years ago. The evidence supporting these updated guidelines has been strengthened to assist metabolic and bariatric surgeons, nutritionists, and other members of multidisciplinary teams, as well as patients. This study aims to assess the level of evidence and the strength of recommendations compared to the previously published criteria.

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

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References

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1. Eisenberg D, Shikora SA, Aarts E, et al. 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;33(1):3–14. - PMC - PubMed

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Scientific Evidence for the Updated Guidelines on Indications for Metabolic and Bariatric Surgery (IFSO/ASMBS)

Affiliations

Scientific Evidence for the Updated Guidelines on Indications for Metabolic and Bariatric Surgery (IFSO/ASMBS)

Authors

Affiliations

Abstract

References

MeSH terms

LinkOut - more resources

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Medical