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

N. Di Lorenzo, S.A. Antoniou, R.L. Batterham, L. Busetto, D. Godoroja, A. Iossa, F.M. Carrano, F. Agresta, I. Alarcon, C. Azran, N. Bouvy, C.B. Ponz, M. Buza, C. Copaescu, M. De Luca, D. Dicker, A. Di Vincenzo, D.M. Felsenreich, N.K. Francis, M. FriedB.G. Prats, D. Goitein, J.C.G. Halford, J. Herlesova, M. Kalogridaki, H. Ket, S. Morales-Conde, G. Piatto, G. Prager, S. Pruijssers, A. Pucci, S. Rayman, E. Romano, S. Sanchez-Cordero, R. Vilallonga, G. Silecchia*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

105 Citations (Web of Science)

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.
Original languageEnglish
Pages (from-to)2332-2358
Number of pages27
JournalSurgical endoscopy and other interventional techniques
Volume34
Issue number6
DOIs
Publication statusPublished - 1 Jun 2020

Keywords

  • agree ii
  • bariatric surgery
  • duodenal switch
  • eaes
  • follow-up
  • grade
  • guidelines
  • intensive medical-management
  • laparoscopic sleeve gastrectomy
  • morbidly obese-patients
  • obesity
  • quality-of-life
  • staple line reinforcement
  • type-2 diabetes-mellitus
  • weight-loss
  • y gastric bypass
  • STAPLE LINE REINFORCEMENT
  • DUODENAL SWITCH
  • Bariatric surgery
  • Y GASTRIC BYPASS
  • FOLLOW-UP
  • MORBIDLY OBESE-PATIENTS
  • Guidelines
  • LAPAROSCOPIC SLEEVE GASTRECTOMY
  • AGREE II
  • INTENSIVE MEDICAL-MANAGEMENT
  • QUALITY-OF-LIFE
  • TYPE-2 DIABETES-MELLITUS
  • Obesity
  • WEIGHT-LOSS
  • EAES
  • GRADE

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