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Operative Outcomes of Metabolic/Bariatric Surgery in Subjects with Type 1 Obesity Index (30–35 kg/m2)

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Abstract

The body mass index (BMI) was developed as an objective and easy method to measure obesity, and it became a useful tool for population and epidemiological studies. BMI was quickly adopted as the main criterion for bariatric surgery, with a “cutoff” value of 35–40 kg/m2, depending on the patients’ comorbidities. However, by ignoring other parameters such as race, gender, age, and fat distribution, this arbitrary system excluded many patients who could benefit from this lifesaving treatment. In addition, there is increasing evidence that bariatric/metabolic surgery in patients with BMI from 30 kg/m2 may have a positive effect on medically uncontrolled type 2 diabetes mellitus (T2DM) as well as other comorbidities. Hence, this provides a strong argument for performing bariatric/metabolic surgery in patients with lower BMI. This chapter identifies the main pitfalls of the present BMI-centered inclusion criteria for bariatric surgery, justifies the need for bariatric/metabolic surgery in patients regardless of baseline BMI, and determines the efficacy and safety of bariatric procedures in those patients.

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Author information

Authors and Affiliations

  1. The Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, São Paulo, Brazil

    Ricardo V. Cohen, Tarissa Z. Petry & Estefano A. Negri

Authors
  1. Ricardo V. Cohen
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  2. Tarissa Z. Petry
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  3. Estefano A. Negri
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Corresponding author

Correspondence to Ricardo V. Cohen .

Editor information

Editors and Affiliations

  1. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

  4. Bariatric Surgery, Metabolic and Bariatric Care, CHI Memorial Hospital, Chattanooga, TN, USA

    Jaime Ponce

  5. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

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Cohen, R.V., Petry, T.Z., Negri, E.A. (2020). Operative Outcomes of Metabolic/Bariatric Surgery in Subjects with Type 1 Obesity Index (30–35 kg/m2). In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_32

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  • DOI: https://doi.org/10.1007/978-3-030-27021-6_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27020-9

  • Online ISBN: 978-3-030-27021-6

  • eBook Packages: MedicineMedicine (R0)

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