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POSITION OF THE SBCBM - NOMENCLATURE AND DEFINITION OF OUTCOMES OF BARIATRIC AND METABOLIC SURGERY

2015; Colégio Brasileiro de Cirurgia Digestiva; Volume: 28; Issue: suppl 1 Linguagem: Inglês

10.1590/s0102-6720201500s100002

2317-6326

Luis V BERTI, Josemberg Marins Campos, Almino Ramos, Marçal Rossi, T Szegö, Ricardo V. Cohen,

Obesity and Health Practices

O besity was initially regarded as a psychosocial disorder, but, after years of study, has come to be understood as a chronic disease for which there is no cure, like hypertension and diabetes 6,7 .Surgical intervention is safe and effective in the long term and aims to control the disease and its comorbidities.Even so, it is hoped that the proportion of patients who experience long-term recidivism can be reduced 1,3 .In the past 20 years, surgical treatment of obesity has evolved significantly and is regarded as more than an isolated modification of the digestive tract.This operation, in combination with changes in lifestyle, is fundamental for controlling the disease in the long and medium term.These changes can be achieved with appropriate guidance and follow-up from a multi-professional team 5 .Comorbidities, such as diabetes, arterial hypertension, sleep apnea and others, reduce quality of life and increase mortality.Weight loss and control of these disease save lives and bring down the cost to the healthcare system 2,4,8 .There is no consensus in the literature as to the definition of successful bariatric and metabolic surgery.The same outcome can be considered favorable by one author and unfavorable by another.There is also no unanimity as which treatment option is most appropriate for turning round a failed bariatric surgery.With a view to drawing up norms as to what constitutes successful bariatric surgery, the Brazilian Society of Bariatric and Metabolic Surgery-SBCBM-held a discussion forum involving surgeons, endocrinologists, cardiologists, nutritionists, psychiatrists, and physical exercise professionals.After critical analysis of the available literature in the light of the prior experience of participants, objective classification criteria were drawn up.The following is a list of the final decisions reached by the panel of experts: