The Federal Council of Medicine has released the new minimum of BMI and the flexible age and the life time with the disease
The CFM (Federal Council of Medicine) published the new rules on Tuesday 20 to indicate bariatric surgery and have started to allow the procedure to perform people with a new minimum IMC and also in adolescence.
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With the new decree, people with I-IMC grade obesity between 30 and 35-cans perform bariatric surgery. In the previous rules, the intervention was allowed only by BMI greater than 35. However, the patient must have one of the following: type 2 diabetes, serious cardiovascular diseases, severe night apnea, early chronic renal disease, liver fat and gastroesophageal reflux.
Another change is at the minimum age and time to live with the disease. From now on, the hours of 14 years of age can pass through the procedure as long as they adapt to a serious obesity, when the IMC is over 40 years old. In the previous decree, the release took place only after 16 years.
The time of coexistence with the disease is no longer mandatory. From the old decree, it was necessary to have up to 10 years of diagnosis of diabetes, being between 30 and 70 years.
Updated techniques and prohibited surgical interventions
Another salient moment of the standard is the updating of the allowed surgical techniques. Gastric bypass and vertical gastrctomy (also called sleeve), the procedures considered safe and effective have been maintained as the main options. On the other hand, techniques such as the adjustable gastric band and discoveries have been officially contraindicated.
Some procedures, previously considered “experimental”, have had regulatory recognition, although they remain limited to specific cases and under supervision. Examples: duodenal switch with vertical gastrectomy and gastric bypass with unique anastomosis.
Rather, the requirement was that the procedure was performed in a hospital in intensive care and able to treat patients with morbid obesity. Now, surgery should be performed in a vast hospital, with high complexity surgery capacity, with intensive care and 24 hours in service.
In addition, surgical interventions in subjects with BMI higher than 60 should be performed in hospitals with physical ability (beds, barelle, operating table, wheelchair and other equipment) and an appropriate multidisciplinary team, since these patients have “more likely to adverse events due to the greater complexity of their illness”, says the CFM in the resolution. (*With information from Estadão content)
Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
