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OSSI (Obesity and Metabolic Surgery Society of India) Guidelines for Patient and Procedure Selection for Bariatric and Metabolic Surgery

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Abstract

Background

India is the largest hub for bariatric and metabolic surgery in Asia. OSSI is committed to improve the quality of care and set the standards for its practice in India.

Methods

The first draft of OSSI guidelines was prepared by the secretary, Dr. Praveen Raj under the guidance of current President, Dr. Arun Prasad. All executive council members were given voting privileges, and the proposed guidelines were circulated on email for approval of the executive council. Guidelines were finalized after 100% agreement from all voting members and were also circulated among all OSSI members for their suggestions.

Results

OSSI upholds the BMI criteria for bariatric and metabolic surgery of 2011 IFSO-APC guidelines. In addition to this, we recognize that waist circumference of ≥ 80 cm in females and ≥ 90 cm in males along with obesity related co-morbidities may be considered for surgery. In addition to standard procedures as recommended by IFSO, OSSI acknowledges the additional procedures, and a review of literature for these procedures is presented in the discussion.

Conclusion

The burden of obesity in India is one of the highest in the world and with numbers of bariatric and metabolic procedures rising rapidly; there is a need for country specific guidelines. The Indian population is unique in its phenotype, genotype and nutritional make up. This document enlists guidelines for surgeons and allied health practitioners as also multiple other stake-holders like primary health physicians, policy makers, insurance companies and the Indian government.

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Authors and Affiliations

  1. Global Hospital, Mumbai, Apollo Group of Hospitals, Mumbai, India

    A. G. Bhasker

  2. Department of Surgery, Department of Surgical Gastroenterology and Department of Bariatric Surgery, Manipal Hospitals, New Delhi, India

    A. Prasad

  3. Department of Bariatric Surgery, Division of Surgical Gastroenterology, Gem Hospital & Research Centre, Coimbatore, India

    P. Praveen Raj

  4. Department of Minimal Access, Bariatric & GI Surgery, Fortis Hospital, Vasant Kunj, New Delhi, India

    R. Wadhawan

  5. Bariatric and Metabolic Surgery, Global and Apollo Group of Hospitals, Mumbai, India

    M. Khaitan

  6. Sevenhills Hospital, Hinduja Healthcare, Apollo Spectre Hospitals, Criticare Hospitals, Bhakti Vedanta Hospital, Mumbai, India

    A. J. Agarwal

  7. ILS Hospitals, Kolkata, India

    O. Tantia

  8. GI and Minimal Access Surgery, Belle Vue Clinic, Kolkata, India

    S. Baig

  9. Institute of Bariatrics, Apollo Hospitals, Chennai, India

    R. Palaniappan

  10. Aster CMI Hospital, Bangalore, India

    H. V. Shivram

  11. Max Smart Super Speciality Hospital, Saket, New Delhi, India

    S. Shah

  12. Max Super Speciality Hospital, New Delhi, India

    V. Soni

  13. Mohak Bariatrics and Robotics Center, Indore, India

    M. Bhandari

  14. Apollo hospital, Indore, India

    R. Shivahare

  15. Shree Hospital & Diagnostic Centre Pvt. Ltd., Pune, India

    S. Dhorepatil

  16. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Super Speciality Hospital, Saket, New Delhi, India

    P. Chowbey

  17. Asian Bariatric, Ahmedabad, India

    M. Narwaria

  18. Laparo-Obeso Centre, Pune, India

    S. Shah

  19. Lilavati Hospital Mumbai and Hinduja Healthcare Surgical, Mumbai, India

    S. Shah

  20. Institute of Minimal Access, Metabolic and Bariatric Surgery, Max Super Speciality Hospital, Saket, New Delhi, India

    R. Khullar

Authors
  1. A. G. Bhasker
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  2. A. Prasad
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  3. P. Praveen Raj
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  4. R. Wadhawan
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  5. M. Khaitan
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  7. O. Tantia
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  8. S. Baig
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  11. S. Shah
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  12. V. Soni
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  17. M. Narwaria
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  18. S. Shah
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  19. R. Khullar
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Corresponding author

Correspondence to A. G. Bhasker.

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Bhasker, A.G., Prasad, A., Raj, P.P. et al. OSSI (Obesity and Metabolic Surgery Society of India) Guidelines for Patient and Procedure Selection for Bariatric and Metabolic Surgery. OBES SURG 30, 2362–2368 (2020). https://doi.org/10.1007/s11695-020-04497-1

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