Metabolic and bariatric surgery: Selection and preoperative work-up

Authors

DOI:

https://doi.org/10.7196/SAMJ.2025.v115i9b.3761

Keywords:

Metabolic surgery, Bariatric surgery, Pre-operative, Selection, Obesity, Guideline, South Africa

Abstract

RECOMMENDATIONS

1. We suggest that a comprehensive medical and nutritional evaluation be completed and nutrient deficiencies corrected in candidates for MBS (Level 4, Grade D).

2. We suggest screening for and treatment of obstructive sleep apnoea in people seeking MBS (Level 4, Grade D).

3. Preoperative smoking cessation can minimise postoperative complications (Level 2a, Grade B).

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2025-11-04

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Obesity Guideline

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Smit JGM, Lubbe J, Murphy A, Mawson K, Koto MZ, Conradie-Smit M, et al. Metabolic and bariatric surgery: Selection and preoperative work-up. S Afr Med J [Internet]. 2025 Nov. 4 [cited 2025 Nov. 12];115(10b):e3761. Available from: https://samajournals.co.za/index.php/samj/article/view/3761