Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Obesity in adults" and "Society guideline links: Obesity in children" and "Society guideline links: Diabetes mellitus in adults".)
International
●Enhanced Recovery After Surgery (ERAS) Society: Guidelines for perioperative care in bariatric surgery, 2021 update (published 2022)
●World Society of Emergency Surgery (WSES) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Operative management of acute abdomen after bariatric surgery in the emergency setting – The OBA guidelines (2022)
●Endocrine Society (ES): Clinical practice guideline on pediatric obesity – Assessment, treatment, and prevention (2017)
●2nd Diabetes Surgery Summit (DSS-II): Metabolic surgery in the treatment algorithm for type 2 diabetes – A joint statement by international diabetes organizations (2016)
●International Pediatric Endosurgery Group (IPEG): Guidelines for surgical treatment of extremely obese adolescents (2009)
Canada
●Obesity Canada: Canadian adult obesity clinical practice guidelines
•Bariatric surgery: Post-operative management (updated 2020)
•Bariatric surgery: Selection & pre-operative workup (updated 2020)
•Bariatric surgery: Surgical options and outcomes (updated 2020)
●Canadian Association of Bariatric Physicians and Surgeons (CABPS): Guidelines for Canadian bariatric surgical and medical centres (2022)
●Canadian consensus statement: Enhanced recovery after surgery in bariatric surgery (2019)
United States
●American Society for Metabolic and Bariatric Surgery (ASMBS): Statement on bariatric emergencies for the general surgeon (2023)
●ASMBS: Consensus statement on laparoscopic adjustable gastric band management (2022)
●ASMBS: Nutrition for pregnancy after metabolic and bariatric surgery – Literature review and practical guide (2022)
●ASMBS: Position statement on the impact of metabolic and bariatric surgery on nonalcoholic steatohepatitis (2022)
●ASMBS: Updated position statement on perioperative venous thromboembolism prophylaxis in bariatric surgery (2022)
●American College of Obstetricians and Gynecologists (ACOG): Practice bulletin on bariatric surgery and pregnancy (2009, reaffirmed 2021)
●American Gastroenterological Association (AGA): Clinical practice update on bariatric surgery in cirrhosis – Expert review (2021)
●AGA: Clinical practice update on evaluation and management of early complications after bariatric/metabolic surgery – Expert review (2021)
●AGA: Clinical practice guidelines on intragastric balloons in the management of obesity (2021)
●ASMBS: Considerations on the role of esophagogastroduodenoscopy in the pediatric metabolic and bariatric surgery patient (2021)
●ASMBS: Position statement on metabolic bone changes after bariatric surgery, 2020 update (2021)
●ASMBS: Position statement on postoperative nausea and vomiting in bariatric surgery (2021)
●ASMBS: Position statement on preoperative patient optimization before metabolic and bariatric surgery (2021)
●ASMBS: Position statement on the rationale for performance of upper gastrointestinal endoscopy before and after metabolic and bariatric surgery (2021)
●ASMBS: Preoperative care pathway for laparoscopic Roux-en-Y gastric bypass (2021)
●American Association of Clinical Endocrinologists (AACE)/The Obesity Society (TOS)/ASMBS/Obesity Medicine Association (OMA)/American Society of Anesthesiologists (ASA): Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient, update (2020)
●ASMBS: Position statement on the relationship between obesity and cancer, and the role of bariatric surgery – Risk, timing of treatment, effects on disease biology, and qualification for surgery (2020)
●ASMBS: Updated position statement on single-anastomosis duodenal switch (2020)
●American Academy of Pediatrics (AAP): Policy statement on pediatric metabolic and bariatric surgery – Evidence, barriers, and best practices (2019)
●ASMBS: Pediatric metabolic and bariatric surgery guidelines (2018)
●ASMBS: Updated position statement on bariatric surgery in class I obesity (2018)
●ASMBS and American Hernia Society (AHS): Consensus guideline on bariatric surgery and hernia surgery (2018)
●Society of American Gastrointestinal and Endoscopic Surgeons (SAGES): Updated panel report – Best practices for the surgical treatment of obesity (2018)
●ASMBS: Updated position statement on sleeve gastrectomy as a bariatric procedure (2017)
●ASMBS: Position statement on long-term survival benefit after metabolic and bariatric surgery (2016)
●ASMBS: Updated position statement on insurance mandated preoperative supervised weight loss requirements (2016)
●ASMBS, the National Lipid Association (NLA), and OMA: Scientific statement on lipids and bariatric procedures (2016)
●American Society for Gastrointestinal Endoscopy (ASGE): Position statement on endoscopic bariatric therapies in clinical practice (2015)
●ASMBS: Position statement on intragastric balloon therapy (2015)
●ASMBS: Position statement on vagal blocking therapy for obesity (2015)
●ASMBS: Position statement on prevention, detection, and treatment of gastrointestinal leak (2015)
●ASMBS: Policy statement on gastric plication (2011)
●North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and National Association of Children's Hospitals and Related Institutions (NACHRI): Report on nutritional strategy for adolescents undergoing bariatric surgery (2011)
Europe
●European Association for Endoscopic Surgery (EAES): Rapid guideline – Systematic review, network meta-analysis, CINeMA and GRADE assessment, and European consensus on bariatric surgery: Extension (2022)
●European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN): Position statement on the indications and limitations of bariatric intervention in severely obese children and adolescents with and without nonalcoholic steatohepatitis (2015)
United Kingdom
●British Obesity and Metabolic Surgery Society (BOMSS): Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery, update (2020)
●National Institute for Health and Care Excellence (NICE): Interventional procedures guidance on single-anastomosis duodeno-ileal bypass with sleeve gastrectomy for treating morbid obesity (2016)
●NICE: Interventional procedures guidance on implantation of a duodenal-jejunal bypass sleeve for managing obesity (2013)
●NICE: Interventional procedures guidance on laparoscopic gastric plication for the treatment of severe obesity (2012)
Australia–New Zealand
●Choosing Wisely Australia: Do not use endoscopy for investigation in gastric band patients with symptoms of reflux (2016)
