Sentara Metabolic and Weight Loss Surgery Center, 600 Gresham Drive, Norfolk, VA 23507, USA.
Gastroenterol Clin North Am. 2010 Mar;39(1):125-33. doi: 10.1016/j.gtc.2009.12.010.
The disease of obesity has continued to increase in the United States. Obesity is defined as a body mass index (BMI) greater than 30 kg/m(2). In 1991, the National Institute of Health Consensus Panel on Gastric Surgery for Severe Obesity defined the population who would most likely benefit from bariatric surgery. These same criteria continue to be used today to determine which patients should undergo metabolic and weight loss surgery. These recommendations include patients who have a BMI greater than 35 kg/m(2) with significant comorbid conditions such as diabetes, hypertension, or obstructive sleep apnea; and patients who have a BMI greater than 40 kg/m(2) with or without any significant comorbid conditions because they have a significant increased risk for developing these conditions.
在美国，肥胖症的发病率持续上升。肥胖定义为体质量指数（BMI）大于 30 kg/m(2)。1991 年，美国国立卫生研究院（NIH）肥胖症胃旁路手术共识小组将最有可能从减重手术中获益的人群定义为肥胖症患者。这些相同的标准至今仍被用于确定哪些患者应接受代谢和减重手术。这些建议包括 BMI 大于 35 kg/m(2)且存在显著合并症，如糖尿病、高血压或阻塞性睡眠呼吸暂停；或 BMI 大于 40 kg/m(2)，无论是否存在显著合并症，因为这些患者发生这些疾病的风险显著增加。
