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The two professional societies whose members recommend and perform bariatric surgery now announce their first modifications in the indications for such surgery in more than 30 years. The 1991 recommendations from The American Society for Metabolic and Bariatric Surgery and the International Federation for the Surgery of Obesity and Metabolic Disorders suggested weight loss surgery for those with body mass indices, better known as BMIs, of 40 or more or 35 to 40 for those with complicating metabolic diseases or in the pediatric and adolescent age groups. Metabolic diseases include poorly controlled type 2 diabetes.
The improved safety and effectiveness of bariatric surgical techniques has prompted both professional societies to now recommend surgery for all those with BMIs of 35 of more and for those with BMIs of 30 or more with metabolic conditions or for children and adolescents.
The most common weight reduction surgical procedures performed worldwide are both done laparoscopically: partial stomach removal known as sleeve gastrectomy and gastric bypass using the Roux-en-Y technique. Other techniques include a gastric band placement, a gastric balloon placement, and a mini-gastric bypass.
https://www.soard.org/article/S1550-7289(22)00641-4/fulltext
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