Implantation of a duodenal-jejunal bypass sleeve for managing obesity (IPG471)
Fast, easy summary view of NICE guidance on 'obesity'
The National Institute for Health and Care Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Implantation of a duodenal-jejunal bypass sleeve for managing obesity in November, 2013.
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Obesity is defined as a body mass index (BMI) of 30 kg/m2 or more. It is a risk factor for comorbidities such as type 2 diabetes, coronary heart disease and hypertension. Weight loss reduces the risks of comorbidities and improves long-term survival.
Obesity is managed by dietary advice, exercise, lifestyle changes and medication. Bariatric surgery is considered as a treatment option in selected patients whose BMI is over 40 kg/m2, or over 35 kg/m2 for patients with other significant comorbidities, if they have not lost enough weight using non‑surgical measures.
Surgical procedures aim to help patients lose weight by restricting the size of the stomach (for example, gastric banding or sleeve gastrectomy) and/or by decreasing the patient’s capacity to absorb food (for example, Roux-en-Y gastric bypass or biliopancreatic diversion).
G54.3 Endoscopic insertion of tubal prosthesis into duodenum
Y70.5 Temporary operations
- IP/986 Implantation of a duodenal-jejunal bypass sleeve for managing obesity: consultation comments table
- IPG471 Implantation of a duodenal-jejunal bypass sleeve for managing obesity: equality impact assessment form
- Implantation of a Duodenal-JeJunal Bypass Sleeve for Managing Obesity - Overview
- Implantation of a duodenal-jejunal bypass sleeve for the management of obesity and/or type 2 diabetes : consultation document
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: obesity
This page was last updated: 27 November 2013
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