Aace/Tos/Asmbs GuidelinesClinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery
Section snippets
INTRODUCTION
Obesity continues to be a major public health problem in the United States, with more than one-third of adults considered obese in 2009-2010, as defined by a body mass index (BMI) >30 kg/m2 (1 [EL 3, SS]). Obesity has been associated with an increased hazard ratio for all-cause mortality (2[EL 3, SS]), as well as significant medical and psychological co-morbidity. Indeed, obesity is not only a chronic medical condition but should be regarded as a bona fide disease state (3 [EL 4, NE]).
Methods
The Boards of Directors for the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), and the American Society for Metabolic & Bariatric Surgery (ASMBS) approved this update of the 2008 AACE, TOS, and ASMBS Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient (2008 AACE-TOS-ASMBS CPG; 7). These CPG expired in 2011 per the National Guideline Clearinghouse (//www.guideline.gov/content.aspx?id=13022&search=bariatric+aace
Executive Summary
There are 74 recommendations in this 2013 update, compared with 164 original recommendations in 2008. There are 56 revised recommendations and 2 new recommendations (R30 and R59) in this 2013 update. Consensus among primary writers was obtained for each of the recommendations.
DISCLOSURES
Jeffrey I. Mechanick, MD: Abbott Nutrition, honoraria for lectures and program development. Daniel B. Jones, MD, MS: Allurion, consultant. W. Timothy Garvey, MD: Merck, speakers list; Daiichi-Sanyo, Vivus, Alkermes, Liposcience, Tethys Bioscience, advisory boards; Merck, Amylin, Weight Watchers, research. Scott Shikora, MD: Baxter Healthcare, consultant; EnteroMedics, consultant; GI Dynamics, stock options for previous consultant work. John B. Dixon, MBBS, PhD, FRACGP, FRCPEdin: Consultant for
ACKNOWLEDGEMENTS
Reviewers: Robin Blackstone, MD: Immediate Past President, ASMBS; George Blackburn, MD, PhD: CoChair, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA; Alan Garber, MD: Departments of Medicine, Biochemistry and Molecular Medicine and Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX; David B. Sarwer, PhD: Professor of Psychology, Departments of Psychiatry and Surgery and Director, Clinical Services, Center for Weight and Eating Disorders, Perelman
DISCLAIMER
American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice are systematically developed statements to assist health-care professionals in medical decision making for specific clinical conditions. Most of the content herein is based on literature reviews. In areas of uncertainty, professional judgment was applied. These guidelines are a working document that reflects the state of the
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