Pentin Pamela L, Nashelsky Joan
Puget Sound Family Medicine Residency, Bremerton, WA USA.
J Fam Pract. 2005 Jul;54(7):633-4.
No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m(2) or with BMI >35 kg/m(2) and 1 or more significant comorbid conditions, when less invasive methods of weight loss have failed and the patient is at high risk for obesity-associated morbidity and mortality (strength of recommendation: C, based on consensus guidelines).
尚无研究对减肥手术的常用适应症进行评估。共识指南表明,肥胖的外科治疗应仅适用于体重指数(BMI)>40kg/m²或BMI>35kg/m²且伴有1种或多种严重合并症的患者,前提是侵入性较小的减肥方法已失败且患者存在肥胖相关发病和死亡的高风险(推荐强度:C,基于共识指南)。