비만에서 수술 적응증, Bariatric operations for management of obesity

Bariatric operations for management of obesity

Candidates for a bariatric surgical procedure include
  ● Adults with a BMI ≥40 kg/m2 without comorbid illness 

  ● Adults with a BMI 35.0 to 39.9 kg/m2 with at least one serious comorbidity, including but not limited to:
      •Type 2 diabetes [47,48]
      •Obstructive sleep apnea (OSA)
      •Hypertension
      •Hyperlipidemia
      •Obesity-hypoventilation syndrome (OHS)
      •Pickwickian syndrome (combination of OSA and OHS)
      •Nonalcoholic fatty liver disease (NAFLD)
      •Nonalcoholic steatohepatitis (NASH)
      •Pseudotumor cerebri
      •Gastroesophageal reflux disease
      •Asthma
      •Venous stasis disease
      •Severe urinary incontinence
      •Debilitating arthritis
      •Impaired quality of life
      •Disqualification from other surgeries as a result of obesity 
       (ie, surgeries for osteoarthritic disease, ventral hernias, or stress incontinence)

   ● Adults with BMI between 30.0 to 34.9 kg/m2 AND one of the following comorbid conditions, 
       although there is no long-term evidence of benefit to support routinely performing a bariatric operation.
     •Uncontrollable type 2 diabetes
     •Metabolic syndrome 

REF. UpToDate 2018.01.15