Comment on: Validation of the cumulative deficit theory in bariatric surgery: new bariatric frailty score is associated with non-home discharge, prolonged hospital stay and mortality in the era of fast-track bariatric surgery

Abstract

Who benefits from metabolic bariatric surgery (MBS)? Who does not? While these questions seem simple, the answers are more complex than can be fulfilled by the commonly used and outdated guidelines. The 1991 National Institutes of Health Consensus Conference on Gastrointestinal Surgery for Severe Obesity, now more than 30 years old, provided the last major reiteration by a government agency that is now no longer involved in such initiatives [1]. These recommendations are becoming increasingly disconnected from the realities of a growing obesity epidemic, evolving clinical practice patterns, and the many advances that have occurred in the surgical management of obesity as well as the medical alternatives.