(INTERNATIONAL FEDERATION FOR
THE SURGERY OF OBESITY)
Patient Selection for
mass index (BMI) of 40 kg/mē or above represents clinically severe obesity,
is medically necessary* and warrants operative treatment, if requested and
otherwise acceptable to the bariatric surgeon. Patients with a BMI of 35 to 40
should be considered for operative treatment if they have a medical condition
that would benefit sufficiently from weight loss. Diabetes mellitus and
hypertension that are difficult to control because of intractable overweight are
two such conditions.
it is difficult for the general public to understand the meaning and calculation
of BMI, guidelines are also stated in closely equivalent terms that are more
familiar. These guidelines require use of the 1983 Metropolitan Height and
Weight Tables derived from survival data published by the Metropolitan Life
Insurance Company or comparable national tables.
either of these two guidelines may be followed:
patient should have a BMI of 40 kg/mē or above, or be 45 kg. or more
above ideal weight according to the 1983 Metropolitan Height and Weight Tables (midpoint
for medium frame) or equivalent national weight tables.
° If the
patient has a BMI of 35 to 40 (weight less than 45 kg above ideal weight),
there should be a serious medical problem that requires weight reduction and
warrants the risk of the proposed operation.
must be able to care for themselves, or be adequately cared for to insure their
return for needed follwo-up. The patient`s prognosis, given weight reduction,
should warrant the risk of the treatment.
back to www.miller.co.at