OSSI (Obesity and Metabolic Surgery Society of India) Guidelines for Patient and Procedure Selection for Bariatric and M
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ORIGINAL CONTRIBUTIONS
OSSI (Obesity and Metabolic Surgery Society of India) Guidelines for Patient and Procedure Selection for Bariatric and Metabolic Surgery A. G. Bhasker 1 & A. Prasad 2 & P. Praveen Raj 3 & R. Wadhawan 4 & M. Khaitan 5 & A. J. Agarwal 6 & O. Tantia 7 & S. Baig 8 & R. Palaniappan 9 & H. V. Shivram 10 & S. Shah 11 & V. Soni 12 & M. Bhandari 13 & R. Shivahare 14 & S. Dhorepatil 15 & P. Chowbey 16 & M. Narwaria 17 & S. Shah 18,19 & R. Khullar 20
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background India is the largest hub for bariatric and metabolic surgery in Asia. OSSI is committed to improve the quality of care and set the standards for its practice in India. Methods The first draft of OSSI guidelines was prepared by the secretary, Dr. Praveen Raj under the guidance of current President, Dr. Arun Prasad. All executive council members were given voting privileges, and the proposed guidelines were circulated on email for approval of the executive council. Guidelines were finalized after 100% agreement from all voting members and were also circulated among all OSSI members for their suggestions. Results OSSI upholds the BMI criteria for bariatric and metabolic surgery of 2011 IFSO-APC guidelines. In addition to this, we recognize that waist circumference of ≥ 80 cm in females and ≥ 90 cm in males along with obesity related co-morbidities may be considered for surgery. In addition to standard procedures as recommended by IFSO, OSSI acknowledges the additional procedures, and a review of literature for these procedures is presented in the discussion.
* A. G. Bhasker [email protected]
S. Shah [email protected]
A. Prasad [email protected]
V. Soni [email protected]
P. Praveen Raj [email protected]
M. Bhandari [email protected]
R. Wadhawan [email protected]
R. Shivahare [email protected]
M. Khaitan [email protected]
S. Dhorepatil [email protected]
A. J. Agarwal [email protected]
P. Chowbey [email protected]
O. Tantia [email protected]
M. Narwaria [email protected]
S. Baig [email protected] R. Palaniappan [email protected] H. V. Shivram [email protected]
S. Shah [email protected] R. Khullar [email protected] Extended author information available on the last page of the article
OBES SURG
Conclusion The burden of obesity in India is one of the highest in the world and with numbers of bariatric and metabolic procedures rising rapidly; there is a need for country specific guidelines. The Indian population is unique in its phenotype, genotype and nutritional make up. This document enlists guidelines for surgeons and allied health practitioners as also multiple other stake-holders like primary health physicians, policy makers, insurance companies and the Indian government. Keywords Obesity and Metabolic SurgerySociety ofIndia (OSSI) . Guidelines . Bariatric and metabolic surgery . Bodymass index (BMI) . Waist circumference . India . Asian Indian phenotype
Introduct
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