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Severe obesity with comorbidity

By The Treatment Registry editors

Patients with BMI ≥40, or ≥35 with significant comorbidity, may be candidates for bariatric (weight-loss) surgery. Treatment options include sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass, and adjustable gastric band. Stub — editorial review pending.

Treatment ladder

Conservative options are first-line where appropriate; surgical options are typically reserved for cases where lower-tier options are unsuitable or have failed. Decisions are individual and depend on clinical assessment.

Conservative

  • Multidisciplinary medical weight management

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  • GLP-1 receptor agonist therapy

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Procedural

  • Endoscopic gastric balloon

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Surgical

  • Sleeve gastrectomy · View procedure page

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  • Roux-en-Y gastric bypass

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  • Mini gastric bypass

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