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
Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery. Update 2020 endorsed by IFSO-EC, EASO and ESPCOP / Di Lorenzo, N., Antoniou, S.a., Batterham, R.l., Busetto, L., Godoroja, D., Iossa, A., Carrano, F.m., Agresta, F., Alarçon, I., Azran, C., Bouvy, N., Balaguè Ponz, C., Buza, M., Copaescu, C., De Luca, M., Dicker, D., Di Vincenzo, A., Felsenreich, D.m., Francis, N.k., Fried, M., et al.. - In: SURGICAL ENDOSCOPY. - ISSN 0930-2794. - 34:6(2020), pp. 2332-2358. [10.1007/s00464-020-07555-y]
Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery. Update 2020 endorsed by IFSO-EC, EASO and ESPCOP
Di Lorenzo NPrimo
;Iossa A;Carrano FM;De Luca M;Silecchia G
Ultimo
2020
Abstract
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| File | Dimensione | Formato | |
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Di Lorenzo_Guidelines-bariatric_2020.pdf
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