Shared Decision Making Patient Physician A Mutually Acceptable ...

Official Recommendations
“Bariatric surgery is the most effective therapy available for morbid obesity and can result in improvement or complete
resolution of obesity comorbidities.”
— American Society of Bariatric Surgeons, 2004
Consensus Conference Statement
“When indicated, surgical intervention leads to significant improvements in decreasing excess weight and comorbidities that
can be maintained over time.”
— American Heart Association, 2011
Bariatric Surgery and Cardiovascular Risk Factors: A Scientific Statement from the American Heart Association
“Bariatric surgery to reduce body weight, improve obesity-associated comorbidities and improve quality of life may be
considered in adult patients with a BMI >40kg/m 2 and those with a BMI >35kg/m 2 with at least one obesity-associated
chronic health condition (i.e., hypertension, type 2 diabetes, dyslipidemia, metabolic syndrome and sleep apnea)…[T]here
is good evidence that…surgical weight loss interventions may improve cardiovascular risk factors, such as hypertension,
dyslipidemia and diabetes mellitus.”
— Dept. of Veterans Affairs, U.S. Dept. of Defense, 2006
Clinical Practice Guideline for Screening and Management of Overweight and Obesity
“Surgery should be considered as a treatment option for patients with a BMI of 40kg/m 2 or greater who instituted but failed
an adequate exercise and diet program…and who present with obesity-related comorbid conditions, such as hypertension,
impaired glucose tolerance, diabetes mellitus, hyperlipidemia and obstructive sleep apnea.”
— American College of Physicians, 2005
Pharmacologic and Surgical Management of Obesity in Primary Care: A Clinical Practice Guideline
“Bariatric surgery should be considered for adults with BMI ≥35kg/m 2 and type 2 diabetes, especially if the diabetes is
difficult to control with lifestyle and pharmacologic therapy.”
“Bariatric surgery is an appropriate treatment for people with type 2
diabetes and obesity not achieving recommended treatment targets
with medical therapies.”
— International Diabetes Federation, 2011
Bariatric Surgical and Procedural Interventions in the Treatment of
Obese Patients with Type 2 Diabetes
“The beneficial effect of surgery on reversal of existing DM and prevention
of its development has been confirmed in a number of studies.”
— American Association of Clinical Endocrinologists, 2011
— American Diabetes Association, 2009
Standards of Medical Care in Diabetes
Informational Websites
www.win.niddk.nih.gov/publications/gastric/htm
www.smarterpatient.com/gastricbypass
www.obesityaction.org/weightlossoptions/bariatricsurgery.php
www.asmbs.org/Newsite07/patients/benefits.htm
www.acsbscn.org/Public/index.jsp
www.stopobesityalliance.org/blog/not-all-hearts-are-created-equal/