The presented paper is a third revision of the clinical recommendations for the treatment of morbid obesity in adults. Morbid obesity is a condition with body mass index (BMI) ≥40 kg / m2 or a BMI ≥35 kg / m2 in the presence of serious complications associated with obesity. The recommendations provide data on the prevalence of obesity, its etiology and pathogenesis, as well as on associated complications. The necessary methods for laboratory and instrumental diagnosis of obesity are described in detail. In this revision of the recommendations, the staging of prescribing conservative and surgical methods for the treatment of obesity are determined. For the first time, a group of patients with obesity and type 2 diabetes mellitus is selected, in whom metabolic surgery allows a long-term improvement in the control of glycemia or remission of diabetes mellitus.

Ivan Ivanovich Dedov
SPIN-code: 5873-2280
Endocrinology Research Centre, Moscow, Russia
Russian Federation

MD, PhD, Professor, , Academician of Russian Academy of Sciences

Galina A Mel'nichenko
SPIN-code: 8615-0038
Endocrinology Research Centre, Moscow, Russia
Russian Federation

MD, PhD, Professor, Academician of Russian Academy of Sciences

Marina V Shestakova
SPIN-code: 3482-7651
Endocrinology Research Centre, Moscow, Russia
Russian Federation

Sc.D. prof., Academican of Russian Academy of Sciences

Ekaterina A Troshina
SPIN-code: 8821-8990
Endocrinology Research Centre, Moscow, Russia
Russian Federation

MD PhD, prof., correspondence fellow of Russian Academy of Sciences

Natalya V Mazurina
Endocrinology Research Centre, Moscow, Russia
Russian Federation


Ekaterina A Shestakova

Author for correspondence.
ORCID iD: 0000-0001-6612-6851
SPIN-code: 1124-7600
Endocrinology Research Centre, Moscow, Russia
Russian Federation, 117036, Dm. Ulianova, 11, Moscow

PhD, leading research associate

Yuriy I Yashkov
The Center of Endosurgery and Lithotripsy, Moscow, Russia 
Russian Federation

MD, PhD, prof.

Aleksandr E Neimark
SPIN-code: 6554-3217
Almazov National Medical Research Centre, Saint Petersburg, Russia
Russian Federation


Elena V Biryukova
SPIN-code: 3700-9150
A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
Russian Federation

MD, PhD, prof.

Irina Z Bondarenko
SPIN-code: 4524-4803
Endocrinology Research Centre, Moscow, Russia
Russian Federation

Md, PhD

Natalia S Bordan
SPIN-code: 7086-2585
Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia
Russian Federation


Fatima H Dzgoeva
Endocrinology Research Centre, Moscow, Russia
Russian Federation


Ekaterina V Ershova
SPIN-code: 6728-3764
Endocrinology Research Centre, Moscow, Russia
Russian Federation


Ksenia A Komshilova
Endocrinology Research Centre, Moscow, Russia
Russian Federation


Ashot M Mkrtumyan
SPIN-code: 1980-8700
A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
Russian Federation

MD, PhD, prof.

Nina A Petunina
SPIN-code: 9784-3616
Sechenov First Moscow State Medical University, Moscow, Russia
Russian Federation

MD, PhD, prof.

Tatiana I Romantsova
Sechenov First Moscow State Medical University, Moscow, Russia
Russian Federation

MD, PhD, prof.

Elena G Starostina
SPIN-code: 6977-0793
M.F. Vladimirsky Moscow Regional Research Clinical Institute (MONIKI), Moscow, Russia
Russian Federation

MD, PhD, prof.

Leonid G Strongin
SPIN-code: 9641-8130
Privolzhsky Research Medical University, Nizhny Novgorod, Russia
Russian Federation

MD, PhD, prof.

Ludmila A Suplotova
SPIN-code: 1212-5397
Tyumen State Medical University, Tyumen, Russia
Russian Federation

MD, PhD, prof.

Valentin V Fadeev
SPIN-code: 6825-8417
Sechenov First Moscow State Medical University, Moscow, Russia
Russian Federation

MD, PhD, Professor, correspondence fellow of Russian Academy of Sciences

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Copyright (c) 2018 Dedov I.I., Mel'nichenko G.A., Shestakova M.V., Troshina E.A., Mazurina N.V., Shestakova E.A., Yashkov Y.I., Neimark A.E., Biryukova E.V., Bondarenko I.Z., Bordan N.S., Dzgoeva F.H., Ershova E.V., Komshilova K.A., Mkrtumyan A.M., Petunina N.A., Romantsova T.I., Starostina E.G., Strongin L.G., Suplotova L.A., Fadeev V.V.

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