Author:
Di Lorenzo Nicola,Antoniou Stavros A.,Batterham Rachel L.,Busetto Luca,Godoroja Daniela,Iossa Angelo,Carrano Francesco M.,Agresta Ferdinando,Alarçon Isaias,Azran Carmil,Bouvy Nicole,Balaguè Ponz Carmen,Buza Maura,Copaescu Catalin,De Luca Maurizio,Dicker Dror,Di Vincenzo Angelo,Felsenreich Daniel M.,Francis Nader K.,Fried Martin,Gonzalo Prats Berta,Goitein David,Halford Jason C. G.,Herlesova Jitka,Kalogridaki Marina,Ket Hans,Morales-Conde Salvador,Piatto Giacomo,Prager Gerhard,Pruijssers Suzanne,Pucci Andrea,Rayman Shlomi,Romano Eugenia,Sanchez-Cordero Sergi,Vilallonga Ramon,Silecchia Gianfranco
Abstract
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.
Funder
European Association for Endoscopic Surgery and other Interventional Techniques
Publisher
Springer Science and Business Media LLC