The first modified Delphi consensus statement on sleeve gastrectomy.

Consensus Delphi Technique Gastrectomy Gastric Bypass Humans Obesity, Morbid / surgery Retrospective Studies Treatment Outcome Weight Loss

Bariatric surgery Gastric sleeve Obesity surgery Sleeve gastrectomy

Journal

Surgical endoscopy

ISSN: 1432-2218

Titre abrégé: Surg Endosc

Pays: Germany

ID NLM: 8806653

Informations de publication

Date de publication:
12 2021

Historique:

received: 19 08 2020

accepted: 03 12 2020

pubmed: 13 1 2021

medline: 6 1 2022

entrez: 12 1 2021

Statut: ppublish

Résumé

Sleeve gastrectomy (SG) is the commonest bariatric procedure worldwide. Yet there is significant variation in practice concerning its various aspects. This paper report results from the first modified Delphi consensus-building exercise on SG. We established a committee of 54 globally recognized opinion makers in this field. The committee agreed to vote on several statements concerning SG. An agreement or disagreement amongst ≥ 70.0% experts was construed as a consensus. The committee achieved a consensus of agreement (n = 71) or disagreement (n = 7) for 78 out of 97 proposed statements after two rounds of voting. The committee agreed with 96.3% consensus that the characterization of SG as a purely restrictive procedure was inaccurate and there was 88.7% consensus that SG was not a suitable standalone, primary, surgical weight loss option for patients with Barrett's esophagus (BE) without dysplasia. There was an overwhelming consensus of 92.5% that the sleeve should be fashioned over an orogastric tube of 36-40 Fr and a 90.7% consensus that surgeons should stay at least 1 cm away from the angle of His. Remarkably, the committee agreed with 81.1% consensus that SG patients should undergo a screening endoscopy every 5 years after surgery to screen for BE. A multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic.

Identifiants

DOI: 10.1007/s00464-020-08216-w PMID: 33433676

pubmed: 33433676

doi: 10.1007/s00464-020-08216-w

pii: 10.1007/s00464-020-08216-w

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Pagination

7027-7033

Informations de copyright

Références

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