Current recommendations for procedure selection in class I and II obesity developed by an expert modified Delphi consensus.

Bariatric surgery Class I and II obesity Consensus Metabolic surgery Procedure selection

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
11 Feb 2024
Historique:
received: 30 10 2023
accepted: 08 02 2024
medline: 11 2 2024
pubmed: 11 2 2024
entrez: 10 2 2024
Statut: epublish

Résumé

Metabolic and bariatric surgery (MBS) is widely considered the most effective option for treating obesity, a chronic, relapsing, and progressive disease. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) issued new guidelines on the indications for MBS, which have superseded the previous 1991 National Institutes of Health guidelines. The aim of this study is to establish the first set of consensus guidelines for selecting procedures in Class I and II obesity, using an Expert Modified Delphi Method. In this study, 78 experienced bariatric surgeons from 32 countries participated in a two-round Modified Delphi consensus voting process. The threshold for consensus was set at an agreement or disagreement of ≥ 70.0% among the experts. The experts reached a consensus on 54 statements. The committee of experts reached a consensus that MBS is a cost-effective treatment option for Class II obesity and for patients with Class I obesity who have not achieved significant weight loss through non-surgical methods. MBS was also considered suitable for patients with Type 2 diabetes mellitus (T2DM) and a body mass index (BMI) of 30 kg/m

Identifiants

pubmed: 38341469
doi: 10.1038/s41598-024-54141-6
pii: 10.1038/s41598-024-54141-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3445

Informations de copyright

© 2024. The Author(s).

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Auteurs

Mohammad Kermansaravi (M)

Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran. mkermansaravi@yahoo.com.

Sonja Chiappetta (S)

Department of General and Laparoscopic Surgery, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy. drschiappetta@gmail.com.

Chetan Parmar (C)

Whittington Hospital, London, UK.

Scott A Shikora (SA)

Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.

Gerhard Prager (G)

Medical University of Vienna, Vienna, Austria.

Teresa LaMasters (T)

Unitypoint Clinic Weight Loss Specialists, West Des Moines, IA, USA.
Department of Surgery, University of Iowa, Iowa City, IA, USA.

Jaime Ponce (J)

Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.

Lilian Kow (L)

Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.

Abdelrahman Nimeri (A)

Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.

Shanu N Kothari (SN)

Prisma Health, Department of Surgery, University of South Carolina School of Medicine, Greenville, SC, USA.

Edo Aarts (E)

WeightWorks Clinics and Allurion Clinics, Amersfoort, The Netherlands.

Syed Imran Abbas (SI)

Iranian Hospital, Alwasl Road, Dubai, UAE.

Ahmad Aly (A)

Austin and Repatriation Medical Centre, University of Melbourne, Heidelberg, VIC, Australia.

Ali Aminian (A)

Department of General Surgery, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.

Ahmad Bashir (A)

Minimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.

Estuardo Behrens (E)

New Life Center, Guatemala, Guatemala.

Helmuth Billy (H)

Ventura Advanced Surgical Associates, Ventura, CA, USA.

Miguel A Carbajo (MA)

Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain.

Benjamin Clapp (B)

Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX, USA.

Jean-Marc Chevallier (JM)

Université Paris 5, Paris, France.

Ricardo V Cohen (RV)

Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, Sao Paolo, Brazil.

Jerome Dargent (J)

Polyclinique Lyon Nord, Rillieux-la-Pape, France.

Bruno Dillemans (B)

Department of General Surgery, AZ Sint Jan Brugge-Oostende, Bruges, Belgium.

Silvia L Faria (SL)

Gastrocirurgia de Brasilia, University of Brasilia, Brasilia, Brazil.

Manoel Galvao Neto (MG)

Endovitta Institute, São Paulo, Brazil.

Pierre Y Garneau (PY)

Division of Bariatric Surgery, CIUSSS-NIM, Montreal, Canada.
Department of Surgery, Université de Montréal, Montréal, Canada.

Khaled Gawdat (K)

Bariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Ashraf Haddad (A)

Minimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.

Mohamad Hayssam ElFawal (MH)

Makassed General Hospital, Beirut, Lebanon.

Kelvin Higa (K)

Fresno Heart and Surgical Hospital, UCSF Fresno, Fresno, CA, USA.

Jaques Himpens (J)

Bariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.

Farah Husain (F)

University of Arizona College of Medicine, Phoenix, USA.

Matthew M Hutter (MM)

Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.

Kazunori Kasama (K)

Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan.

Radwan Kassir (R)

Department of Digestive Surgery, CHU Félix Guyon, Saint Denis, La Réunion, France.

Amir Khan (A)

Walsall Healthcare NHS Trust, Walsall, UK.

Mousa Khoursheed (M)

Taiba Hospital, Kuwait City, Kuwait.

Matthew Kroh (M)

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Marina S Kurian (MS)

Department of Surgery, New York University Grossman School of Medicine, New York, NY, USA.

Wei-Jei Lee (WJ)

Medical Weight Loss Center, China Medical University Shinchu Hospital, Zhubei City, Taiwan.

Ken Loi (K)

Director of St George Surgery, Sydney, Australia.

Kamal Mahawar (K)

South Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.

Corrigan L McBride (CL)

University of Nebraska Medical Center, Omaha, USA.

Hazem Almomani (H)

NMC Royal Hospital, Abu Dhabi, UAE.

John Melissas (J)

Bariatric Unit, Heraklion University Hospital, University of Crete, Crete, Greece.

Karl Miller (K)

Diakonissen Wehrle Private Hospital, Salzburg, Austria.

Monali Misra (M)

Cedars Sinai Medical Center, Los Angeles, USA.

Mario Musella (M)

Advanced Biomedical Sciences Department, Federico II" University, Naples, Italy.

C Joe Northup (CJ)

BMI Surgery, New Lenox, IL, USA.

Mary O'Kane (M)

Department of Nutrition and Dietetics, Leeds Teaching Hospitals, NHS Trust, Leeds, UK.

Pavlos K Papasavas (PK)

Division of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, CT, USA.

Mariano Palermo (M)

Department of Surgery, Centro CIEN-Diagnomed, University of Buenos Aires, Buenos Aires, Argentina.

Richard M Peterson (RM)

Department of General and Minimally Invasive Surgery, UT Health San Antonio, San Antonio, TX, USA.

Ralph Peterli (R)

Department of Visceral Surgery, Clarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.

Luis Poggi (L)

Department of Surgery Clinica Anglo Americana, Universidad Nacional Mayor de San Marcos, Lima, Peru.

Janey S A Pratt (JSA)

Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue, GS 112, Palo Alto, CA, 94304, USA.

Aayad Alqahtani (A)

New You Medical Center, King Saud University, Obesity Chair, Riyadh, Saudi Arabia.

Almino C Ramos (AC)

Medical Director of Gastro-Obeso-Center, Institute for Metabolic Optimization, Sao Paulo, Brazil.

Karl Rheinwalt (K)

Department of Bariatric, Metabolic, and Plastic Surgery, St. Franziskus Hospital, Cologne, Germany.

Rui Ribeiro (R)

Centro Multidisciplinar Do Tratamento da Obesidade, Hospital Lusíadas Amadora e Lisbon, Amadora, Portugal.

Ann M Rogers (AM)

Department of Surgery - Division of Minimally Invasive and Bariatric Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Bassem Safadi (B)

Aman Hospital, Doha, Qatar.

Paulina Salminen (P)

Division of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Turku, Finland.

Sergio Santoro (S)

Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, São Paulo, 05652-900, Brazil.

Nathaniel Sann (N)

Advanced Surgical Partners of Virginia, Richmond, VA, USA.

John D Scott (JD)

Division of Bariatric and Minimal Access Surgery, Department of Surgery, University of South Carolina School of Medicine, Greenville, SC, USA.

Asim Shabbir (A)

National University of Singapore, Singapore, Singapore.

Stephanie Sogg (S)

Massachusetts General Hospital Weight Center, Boston, MA, USA.

Erik Stenberg (E)

Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Michel Suter (M)

Department of Surgery, Riviera-Chablais Hospital, Rennaz, Switzerland.

Antonio Torres (A)

Department of Surgery, Hospital Clínico San Carlos, Complutense University of Madrid, Calle del Prof Martín Lagos, S/N, 28040, Madrid, Spain.

Surendra Ugale (S)

Kirloskar and Virinchi Hospitals, Hyderabad, Telangana, India.

Ramon Vilallonga (R)

Endocrine, Bariatric, and Metabolic Surgery Department, Universitary Hospital Vall Hebron, Barcelona, Spain.

Cunchuan Wang (C)

Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.

Rudolf Weiner (R)

Bariatric Surgery Unit, Sana Clinic Offenbach, Offenbach, Germany.

Natan Zundel (N)

Department of Surgery, University of Buffalo, Buffalo, NY, USA.

Luigi Angrisani (L)

Department of Public Health, Federico II University of Naples, Naples, Italy.

Maurizio De Luca (M)

Department of General Surgery Rovigo Hospital, Rovigo, Italy.

Classifications MeSH