The Federal Council of Medicine (CFM) published on Tuesday (20) in the Federal Official Gazette new rules and parameters for the bariatric and metabolic surgery in adults and adolescents.
THE Resolution No. 2,429/25 Unifies Standard No. 2,131/2015, which regulates bariatric surgery, together with Resolution No. 2,172/17, which normalizes the same type of procedure for patients with type 2 diabetes.
The new rules were established in a CFM technical chamber, which was attended by surgeons and former presidents of the Brazilian Society of Bariatric and Metabolic Surgery (SBCBM)-Dr. Fábio Viegas and Dr. Antonio Carlos Valezi-and was based on the latest scientific studies that prove the benefits of surgery to treat obesity and metabolic syndrome.
What changes?
The new standard maintains under the same criteria for bariatric surgery patients with body mass index (BMI) above 40, whether or not they are comorbidities, and patients with BMI above 35 and less than 40 with associated diseases.
The novelty revolves around IMC patients between 30 and 35, who are eligible for surgery as long as they have type 2 diabetes, cardiovascular disease with target organ injury, early chronic kidney disease due to type 2 diabetes, severe sleep apnea, non -alcoholic fatty disease with fibrosis, transplantation, gastroeshogic reflux with indication. surgical or severe osteoarthritis.
From previous rules, they could only undergo surgery patients with up to 10 years of diabetes and provided they were over 30 years old and less than 70. It was also required that the patient had been accompanied by an endocrinologist for more than two years, having presented refractory to proposed treatments.
The new CFM resolution does not restrict age or further define the time of living with type 2 diabetes.
“To make these decisions, we evaluated several studies and listened to specialty societies, always with the aim of offering the best for the patient,” explains CFM President José Hiran Gallo, in a statement.
Adolescents over 14 years old will have bariatric surgery
Another important change in the resolution concerns adolescents eligible for bariatric surgery. Previously, patients under 16 could only perform the procedure if it were performed as experimental and in accordance with CEP/ConeP system standards.
Now, patients from 14 years old who have BMI over 40 associated with clinical complications can have surgery. However, the evaluation of multidisciplinary team and the consent of those responsible is still required.
In addition, adolescents between 16 and 18 years old who meet the criteria established for adults now have access to surgery, provided that those responsible and the medical team agree with the procedure.
“The new resolution of the CFM is a watershed, as it responds directly to the wishes of the population that coexists with severe obesity and its multiple comorbidities. Bariatric surgery is increasingly recognized as the most effective, lasting and cost-effective in control of obesity and its metabolic complications,” says SBCBM President Juliano Canavarros.
Read the full resolution below:
Obesity: No treatment works without changing lifestyle, says expert
Study points to hypoglycemia as a complication of bariatric surgery
This content was originally published in new rules expand recommendations for bariatric surgery; See at CNN Brazil.
Source: CNN Brasil
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