Scientific evidence for the updated guidelines on indications for metabolic and bariatric surgery (IFSO/ASMBS)

Maurizio De Luca; Scott Shikora; Dan Eisenberg; Luigi Angrisani; Chetan Parmar; Aayed Alqahtani; Ali Aminian; Edo Aarts; Wendy A Brown; Ricardo V Cohen; Nicola Di Lorenzo; Silvia L Faria; Kasey P S Goodpaster; Ashraf Haddad; Miguel F Herrera; Raul Rosenthal; Jacques Himpens; Angelo Iossa; Mohammad Kermansaravi; Lilian Kow; Marina Kurian; Sonja Chiappetta; Teresa LaMasters; Kamal Mahawar; Giovanni Merola; Abdelrahman Nimeri; Mary O'Kane; Pavlos K Papasavas; Giacomo Piatto; Jaime Ponce; Gerhard Prager; Janey S A Pratt; Ann M Rogers; Paulina Salminen; Kimberley E Steele; Michel Suter; Salvatore Tolone; Antonio Vitiello; Marco Zappa; Shanu N Kothari

doi:10.1016/j.soard.2024.05.009

Scientific evidence for the updated guidelines on indications for metabolic and bariatric surgery (IFSO/ASMBS)

Surg Obes Relat Dis. 2024 Nov;20(11):991-1025. doi: 10.1016/j.soard.2024.05.009. Epub 2024 Jun 11.

Authors

Maurizio De Luca¹, Scott Shikora², Dan Eisenberg³, Luigi Angrisani⁴, Chetan Parmar⁵, Aayed Alqahtani⁶, Ali Aminian⁷, Edo Aarts⁸, Wendy A Brown⁹, Ricardo V Cohen¹⁰, Nicola Di Lorenzo¹¹, Silvia L Faria¹², Kasey P S Goodpaster¹³, Ashraf Haddad¹⁴, Miguel F 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 K 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. Electronic address: nnwdel@tin.it.
² Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
³ Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, Palo Alto, California.
⁴ Department of Public Health, Federico II University of Naples, Naples, Italy.
⁵ Department of Surgery, 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, Ohio.
⁸ Department of Surgery, 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, Sao 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, Ohio.
¹⁴ Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.
¹⁵ Endocrine and Bariatric Surgery, UNAM at INCMNSZ, Mexico City, México.
¹⁶ Cleveland Clinic Florida, The Bariatric Institute, Weston, Florida.
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 Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Surgery Research Center, 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, New York.
²² Obesity and Metabolic Surgery Unit, Department of General and Laparoscopic Surgery, Ospedale Evangelico Betania, Naples, Italy.
²³ Department of Surgery, University of Iowa, Iowa City, Iowa.
²⁴ Department of General Surgery, Sunderland Royal Hospital, Sunderland, United Kingdom.
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, Connecticut.
²⁸ UOC Chirurgia Generale e d'Urgenza, Ospedale di Montebelluna, Montebelluna, Italy.
²⁹ Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, Tennessee.
³⁰ Department of Surgery, Medical University of Vienna, Vienna, Austria.
³¹ Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania.
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, Maryland.
³⁴ Department of Visceral Surgery, University Hospital, Lausanne, Switzerland.
³⁵ Department of Surgery, Seconda Universita 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 Prisma Health, Department of Surgery, University of South Carolina School of Medicine, Greenville, South Carolina.

PMID: 39419572
DOI: 10.1016/j.soard.2024.05.009

Abstract

The 2022 American Society for 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 National Institutes of Health (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 (MDTs), 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 indications; IFSO; Metabolic and bariatric surgery; Obesity.

Publication types

Review

MeSH terms

Bariatric Surgery* / standards
Evidence-Based Medicine
Humans
Obesity / surgery
Obesity, Morbid / surgery
Practice Guidelines as Topic*
United States