Obesity and Bariatric Surgery: The Daily PANCE Blueprint

According to the latest American Society of Metabolic and Bariatric Surgery (ASMBS) guidelines, which of the following patient profiles most appropriately indicates the need for metabolic and bariatric surgery (MBS)?

A. A 32-year-old Asian female with a BMI of 28 kg/m² and type 2 diabetes
B. A 45-year-old male with a BMI of 34 kg/m² and no comorbid conditions
C. A 50-year-old female with a BMI of 31 kg/m² and well-controlled hypertension
D. A 28-year-old male with a BMI of 36 kg/m² and obstructive sleep apnea
E. A 16-year-old male with a BMI of 37 kg/m² and no comorbid conditions

Answer and topic summary

The answer is D. A 28-year-old male with a BMI of 36 kg/m² and obstructive sleep apnea

According to the 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 guidelines, MBS is recommended for individuals with a BMI >35 kg/m², regardless of the presence, absence, or severity of comorbidities. This patient’s profile, with a BMI of 36 kg/m² and obstructive sleep apnea, fits within these guidelines, making him an appropriate candidate for MBS.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint GI and Nutrition ⇒ Nutritional and vitamin disorders (PEARLS) ⇒ Obesity and Metabolic Syndrome

Also covered as part of the General Surgery EOR Topic List