Research
Energy balance
MBS serves as an effective bridge to other specialty surgeries (joint arthroplasty, hernia repair, organ transplantation) by reducing surgical risks and complications.
If you need joint surgery, hernia repair, or an organ transplant and are obese, getting MBS first can make the other surgery safer, shorter, and less likely to have complications.
GoodSupportsHIGH confidence
MBS prior to total knee and hip arthroplasty has been shown to decrease operative time, hospital length-of-stay, and early postoperative complications... MBS should be considered first to induce significant weight loss, and consequently reduce the rate of complications associated with hernia repair and increase durability of the repair.
Why this rating
Supported by RCTs and cohort studies.
Source
2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery
Dan Eisenberg et al. · Obesity Surgery · 2022
DOI 10.1007/s11695-022-06332-1
clinical_guidelineCited 627×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Metabolic and bariatric surgery (MBS) is recommended for individuals with BMI >35 kg/m2 regardless of comorbidity status, and for those with BMI 30-34.9 kg/m2 who have metabolic disease or fail nonsurgical treatments.Strong
- MBS significantly reduces the risk of developing obesity-associated cancers and cancer-related mortality.Good
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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