Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP.

Bariatric Surgery / methods Endoscopy / methods Europe Humans Obesity, Morbid / surgery Practice Guidelines as Topic Societies, Medical
AGREE II Bariatric surgery EAES GRADE Guidelines Obesity

Journal

Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653

Informations de publication

Date de publication:
06 2020
Historique:
received: 24 02 2020
accepted: 07 04 2020
pubmed: 25 4 2020
medline: 28 5 2021
entrez: 25 4 2020
Statut: ppublish

Résumé

Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience. EAES has sponsored an update of previous guidelines on bariatric surgery. A multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. Development and reporting conformed to GRADE guidelines and AGREE II standards. Systematic review of databases, record selection, data extraction and synthesis, evidence appraisal and evidence-to-decision frameworks were developed for 42 key questions in the domains Indication; Preoperative work-up; Perioperative management; Non-bypass, bypass and one-anastomosis procedures; Revisional surgery; Postoperative care; and Investigational procedures. A total of 36 recommendations and position statements were formed through a modified Delphi procedure. This document summarizes the latest evidence on bariatric surgery through state-of-the art guideline development, aiming to facilitate evidence-based clinical decisions.

Sections du résumé

BACKGROUND
Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience. EAES has sponsored an update of previous guidelines on bariatric surgery.
METHODS
A multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. Development and reporting conformed to GRADE guidelines and AGREE II standards.
RESULTS
Systematic review of databases, record selection, data extraction and synthesis, evidence appraisal and evidence-to-decision frameworks were developed for 42 key questions in the domains Indication; Preoperative work-up; Perioperative management; Non-bypass, bypass and one-anastomosis procedures; Revisional surgery; Postoperative care; and Investigational procedures. A total of 36 recommendations and position statements were formed through a modified Delphi procedure.
CONCLUSION
This document summarizes the latest evidence on bariatric surgery through state-of-the art guideline development, aiming to facilitate evidence-based clinical decisions.

Identifiants

DOI: 10.1007/s00464-020-07555-y PMID: 32328827 PMC: PMC7214495
pubmed: 32328827
doi: 10.1007/s00464-020-07555-y
pii: 10.1007/s00464-020-07555-y
pmc: PMC7214495
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2332-2358

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Auteurs

Nicola Di Lorenzo (N)

Department of Surgical Sciences, University of Rome "Tor Vergata", Rome, Italy.

Stavros A Antoniou (SA)

Department of Surgery, European University of Cyprus, Nicosia, Cyprus.
Department of Surgery, Mediterranean Hospital of Cyprus, Limassol, Cyprus.

Rachel L Batterham (RL)

Centre for Obesity Research, University College London, London, UK.
Biomedical Research Centre, National Institute of Health Research, London, UK.

Luca Busetto (L)

Internal Medicine 3, Department of Medicine, DIMED, Center for the Study and the Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.

Daniela Godoroja (D)

Department of Anesthesiology, Ponderas Academic Hospital Regina Maria, Bucharest, Romania.

Angelo Iossa (A)

Department of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, "La Sapienza" University of Rome-Polo Pontino, Bariatric Centre of Excellence IFSO-EC, Via F. Faggiana 1668, 04100, Latina, Italy.

Francesco M Carrano (FM)

Department of Endocrine and Metabolic Surgery, University of Insubria, Ospedale di Circolo and Fondazione Macchi, ASST Sette Laghi, Varese, Italy.

Ferdinando Agresta (F)

Department of General Surgery, ULSS5 del Veneto, Adria, Italy.

Isaias Alarçon (I)

Unit of Innovation in Minimally Invasive Surgery, Department of General and Digestive Surgery, University Hospital "Virgen del Rocío", 41010, Sevilla, Spain.

Carmil Azran (C)

Herzliya Medical Center, Herzliya, Israel.

Nicole Bouvy (N)

Department of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.

Carmen Balaguè Ponz (C)

Hospital Sant Pau, UAB, Barcelona, Spain.

Maura Buza (M)

Department of General Surgery, Ponderas Academic Hospital Regina Maria, Bucharest, Romania.

Catalin Copaescu (C)

Department of General Surgery, Ponderas Academic Hospital Regina Maria, Bucharest, Romania.

Maurizio De Luca (M)

Division of General Surgery, Castelfranco and Montebelluna Hospitals, Treviso, Italy.

Dror Dicker (D)

Department of Internal Medicine D, Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Angelo Di Vincenzo (A)

Internal Medicine 3, Department of Medicine, DIMED, Center for the Study and the Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.

Daniel M Felsenreich (DM)

Division of General Surgery, Department of Surgery, Vienna Medical University, Vienna, Austria.

Nader K Francis (NK)

Department of General Surgery, Yeovil District Hospital NHS Foundation Trust, Yeovil, UK.

Martin Fried (M)

Center for Treatment of Obesity and Metabolic Disorders, OB Klinika, Prague, Czech Republic.

Berta Gonzalo Prats (B)

Hospital Sant Pau, UAB, Barcelona, Spain.

David Goitein (D)

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Surgery C, Chaim Sheba Medical Center, Ramat Gan, Israel.

Jason C G Halford (JCG)

Department of Psychological Sciences, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.

Jitka Herlesova (J)

Center for Treatment of Obesity and Metabolic Disorders, OB Klinika, Prague, Czech Republic.

Marina Kalogridaki (M)

Emergency Department, General Hospital of Attica "KAT", Athens, Greece.

Hans Ket (H)

VU Amsterdam, Amsterdam, Netherlands.

Salvador Morales-Conde (S)

Unit of Innovation in Minimally Invasive Surgery, Department of General and Digestive Surgery, University Hospital "Virgen del Rocío", 41010, Sevilla, Spain.

Giacomo Piatto (G)

Division of General Surgery, Castelfranco and Montebelluna Hospitals, Treviso, Italy.

Gerhard Prager (G)

Division of General Surgery, Department of Surgery, Vienna Medical University, Vienna, Austria.

Suzanne Pruijssers (S)

Department of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.

Andrea Pucci (A)

Centre for Obesity Research, University College London, London, UK.
Biomedical Research Centre, National Institute of Health Research, London, UK.

Shlomi Rayman (S)

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Surgery C, Chaim Sheba Medical Center, Ramat Gan, Israel.

Eugenia Romano (E)

Department of Psychological Sciences, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.

Sergi Sanchez-Cordero (S)

General Surgery Department, Consorci Sanitari de L'Anoia, Barcelona, Spain.

Ramon Vilallonga (R)

Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Vall D'Hebron University Hospital, Center of Excellence for the EAC-BC, Universitat Autònoma de Barcelona, Barcelona, Spain.

Gianfranco Silecchia (G)

Department of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, "La Sapienza" University of Rome-Polo Pontino, Bariatric Centre of Excellence IFSO-EC, Via F. Faggiana 1668, 04100, Latina, Italy. gianfranco.silecchia@uniroma1.it.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Chirurgie bariatrique › Clinical practice guidelines of the European...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Clinical practice guidelines of the European...
questionsmedicales.fr › Régions géographiques › Europe › Clinical practice guidelines of the European...
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questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Obésité morbide › Clinical practice guidelines of the European...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Guides de bonnes pratiques cliniques comme sujet › Clinical practice guidelines of the European...
questionsmedicales.fr › Organisations et économie des soins de santé › Organismes › Sociétés › Sociétés médicales › Clinical practice guidelines of the European...