American Society for Metabolic and Bariatric Surgery

View all recommendations from this society

Released June 25, 2015

Don’t routinely use the intensive care unit for postoperative monitoring.

Most patients undergoing bariatric surgery do not require an intensive care unit for postoperative monitoring which can have higher rates of nosocomial infections and expose patients to resistant microorganisms.

These items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physician.

How The List Was Created

The American Society for Metabolic and Bariatric Surgery (ASMBS) initially solicited expert opinion from surgeons who are members of the Clinical Issues Committee. This committee is responsible for drafting guidelines and position statements for the ASMBS. We also received input from the Executive Council of the ASMBS to narrow the original list down to those with highest priority.

For ASMBS’ disclosure and conflict of interest policy, please visit


Grover BT, Priem DM, Mathiason MA, Kallies KJ, Thompson GP, Kothari SN. Intensive care unit stay not required for patients with obstructive sleep apnea after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2010 Mar 4;6(2):165-70.

El Shobary H, Backman S, Christou N, Schricker T. Use of critical care resources after laparoscopic gastric bypass: effect on respiratory complications. Surg Obes Relat Dis. 2008 Nov-Dec;4(6):698-702.

Hallowell PT, Stellato TA, Petrozzi MC, Schuster M, Graf K, Robinson A, Jasper JJ. Eliminating respiratory intensive care unit stay after gastric bypass surgery. Surgery. 2007 Oct;142(4):608-12.

Wallace WC, Cinat ME, Nastanski F, Gornick WB, Wilson SE. New epidemiology for postoperative nosocomial infections. Am Surg. 2000 Sep;66(9):874-8.