new 2024 bariatric surgery guidelines, recommendations, and statistics

New Bariatric Surgery Guidelines and Statistics 2024

american society for metabolic and bariatric surgery

For the first time in over 30 years, experts in the field of bariatric and metabolic surgery have released new clinical practice guidelines. These 2022 guidelines from the American Society for Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) aim to update eligibility and recommendations for weight-loss surgery to reflect the latest evidence and global experience gathered since the original 1991 NIH consensus statement.

international federation for surgery of obesity and metabolic disorders

With obesity now recognized as a chronic disease, the new guidelines expand patient access to metabolic and bariatric surgery, endorsing it for a wider range of patients. Specifically, they lower the minimum body mass index (BMI) threshold and recommend considering surgery for patients with type 2 diabetes who have not responded sufficiently to lifestyle and medical management. This marks an important shift to make weight-loss surgery available to more individuals struggling with obesity and metabolic disease.



Key Guideline Updates Expand Patient Eligibility

The updated ASMBS/IFSO guidelines recommend metabolic and bariatric surgery for individuals with a BMI of 35 or higher, regardless of the presence or severity of co-morbid obesity-related conditions like diabetes and hypertension. This replaces the older BMI threshold of 40 set in 1991.

Additionally, the experts suggest considering weight-loss surgery for patients with a BMI between 30-34.9 who also have metabolic disease like type 2 diabetes, if lifestyle changes and medical management have not led to sufficient improvement. This is a major shift to make surgery accessible for more individuals with class I obesity.

The new bariatric surgery guidelines also note that BMI thresholds should be adjusted for Asian populations, with obesity defined starting at 25 kg/m2. Appropriately selected adolescents may also now be candidates for metabolic surgery based on these recommendations.


Bariatric Surgery Trends Over the Years

Understanding trends in bariatric surgery can give insights into the growing popularity or decline of each procedure. Below is a table illustrating the number of surgeries performed from 2011 to 2021:

Here's the statistics for bariatric surgeries performed over a ten year period:


Year Gastric Sleeve RYGB Lap Band BPD-DS
2021 152,866 56,527 1,121 5,525
2020 122,056 41,280 2,393 3,555
2019 152,413 45,744 2,375 2,272
2018 154,976 42,945 2,660 2,123
2017 135,401 40,574 6,318 1,588
2016 125,318 40,316 7,310 1,236
2015 105,448 45,276 11,172 1,176
2014 99,781 51,724 18,335 772
2013 75,359 61,218 25,060 1,790
2012 57,090 64,875 34,946 1,730
2011 28,124 57,986 55,932 1,422

Key takeaways from this table:

  • Gastric Sleeve surgeries have seen a substantial increase, peaking in recent years.
  • Roux-en-Y Gastric Bypass (RYGB) has remained fairly steady but is less common compared to the sleeve.
  • Lap Band surgeries have seen a significant decline.
  • Biliopancreatic Diversion with Duodenal Switch (BPD-DS) is the least common and has minor fluctuations over the years.
bariatric surgery procedure stats


Patient Profiles

Demographic Percentage or Average Details
Gender (Female) 78% Predominantly female patients
Average Age 37 years Mean age of patients
Mean BMI 43.51 Body mass index average
High Blood Pressure 51% Most prevalent comorbidity


Outcomes After Surgery

Outcome Statistic Details
Long-term Weight Loss Substantial and durable Weight loss is significant and maintained long-term
Reoperation Likelihood Common Reoperation remains common across all procedures
Weight Loss (3 Years Post-Op) Significant Marked improvement or remission of obesity-related health conditions
30-Day Complication Rate 4.6% Study conducted during 2020 and 2021
Severe Complications 3% Includes anastomotic/staple line leakage, stenosis, pulmonary embolism
Mortality Rate 0.2% Death occurs in a small percentage of patients


Conclusion

The new rules from top experts make it easier for more people to get weight-loss surgery. These rules are based on the latest science and will help more folks struggling with weight and related health issues like diabetes. The data also shows some surgeries are getting more popular, while others are less common now.

Bottom line: More people can now consider weight-loss surgery as a real option for improving their health. This is big news that could change—and maybe even save—more lives. Keep an eye out for what comes next, as the medical field keeps learning and evolving.



Further Reading

For those considering or planning to undergo bariatric surgery, understanding the right diet to follow post-surgery is essential. Check out this comprehensive guide on Bariatric Foods: A Guide to a Healthy Bariatric Diet. It offers valuable insights into the types of foods suitable for each phase of your post-surgery diet.





Writer: Allison


Allison is a seasoned nutritionist and writer with over 15 years in health and weight management. She's authored journals on medical weight loss and bariatric medicine, and has specialized in bariatric foods.


Reviewed By: Dr. K. Huffman


Dr. Kevin D. Huffman, D.O., is a board-certified bariatric physician renowned for his expertise in treating obesity. With over 10,000 patients and a reputation as a national leader in bariatric medicine, he has trained hundreds of healthcare providers. Dr. Huffman develops protocols and training materials sought after by medical societies, pharmaceutical companies, patients, and hospitals.

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