2022 ASMBS and IFSO: Indications for Metabolic and Bariatric Surgery

2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery

Thirty years ago, the National Institutes of Health (NIH) convened a Consensus Development Conference that pub- lished a Statement on gastrointestinal surgery for severe obesity, reflecting expert assessment of the medical knowledge available at the time. Specifically, it sought to address “the surgical treatments for severe obesity and the criteria for selection, the efficacy and risks of surgical treatments for severe obesity, and the need for future research on and epidemiological evaluation of these therapies,” and included specific recommendations for practice.

In light of significant advances in the understanding of the disease of obesity, its management in general, and metabolic and bariatric surgery specifically, the leaderships of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) have convened to produce this joint statement on the current available scientific information on metabolic and bariatric surgery and its indications.

Dan Eisenberg, M.D.a,, Scott A. Shikora, M.D.b, Edo Aarts, M.D., Ph.D.c, Ali Aminian, M.D.d, Luigi Angrisani, M.D.e, Ricardo V. Cohen, M.D., Ph.D.f, Maurizio De Luca, M.D.g, Silvia L. Faria, Ph.D.h, Kasey P. S. Goodpaster, Ph.D.dd, Ashraf Haddad, M.D.i, Jacques M. Himpens, M.D., Ph.D.j, Lilian Kow, B.M.B.S., Ph.D.k, Marina Kurian, M.D.l, Ken Loi, M.B.B.S., B.Sc. (Med)m, Kamal Mahawar, M.B.B.S., M.Sc.n, Abdelrahman Nimeri, M.D., M.B.B.Ch.o, Mary O’Kane, M.Sc., R.D.p, Pavlos K. Papasavas, M.D.q, Jaime Ponce, M.D.r, Janey S. A. Pratt, M.D.a,s, Ann M. Rogers, M.D.t, Kimberley E. Steele, M.D., Ph.D.u, Michel Suter, M.D.v,w, Shanu N. Kothari, M.D.x

  1. Department of Surgery, Stanford School of Medicine and VA Palo Alto HCS, Palo Alto, California
  2. Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women’s Hospital, and Harvard Medical School, Boston, Massachusetts
  3. WeightWorks Clinics and Allurion Clinics, Amersfoort, The Netherlands
  4. Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio
  5. Department of Public Health, University of Naples Federico II, Naples, Italy
  6. Center for the Treatment of Obesity and Diabetes, Hospital Alem~ao 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, New York
  13. St. George Hospital and Sutherland Hospital, Kogarah, New South Wales, Australia
  14. Department of General Surgery, Sunderland Royal Hospital, Sunderland, United Kingdom
  15. Department of Surgery, Carolinas Medical Center, University of North Carolina, Charlotte, North Carolina
  16. Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
  17. Division of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, Connecticut
  18. Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, Tennessee
  19. Division of Pediatric Surgery, Lucille Packard Children’s Hospital, Palo Alto, California
  20. Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
  21. NIDDK Metabolic and Obesity Research Unit, National Institutes of Health, Bethesda, Maryland
  22. Department of Surgery, Riviera-Chablais Hospital, Rennaz, Switzerland
  23. Department of Visceral Surgery, University Hospital, Lausanne, Switzerland
  24. Prisma Health, Department of Surgery, University of South Carolina School of Medicine, Greenville, South Carolina

Received 4 August 2022; accepted 5 August 2022

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Recorded on October, 21, 2022