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<p>The National Institute for Health and Care Excellence (NICE) issued a clinical
guideline on the identification, assessment and management of obesity in 2014 that
makes recommendations on the use of bariatric surgery.</p><p> </p><p>NICE’s guideline
recommends bariatric surgery as an option for people with obesity if all of the following
criteria are fulfilled:</p><p> </p><p>- They have a body mass index of 40 kg/m2 or
more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example,
type 2 diabetes or high blood pressure) that could be improved if they lost weight;</p><p>-
All appropriate non-surgical measures have been tried but the person has not achieved
or maintained adequate, clinically beneficial weight loss;</p><p>- The person has
been receiving or will receive intensive management in a tier 3 service;</p><p>- The
person is generally fit for anaesthesia and surgery; and</p><p>- The person commits
to the need for long-term follow-up.</p><p> </p>
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