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. Fried; B.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

doi: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

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. Fried

B.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 journal › Article › Academic › peer-review

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 language	English
Pages (from-to)	2332-2358
Number of pages	27
Journal	Surgical endoscopy and other interventional techniques
Volume	34
Issue number	6
DOIs	https://doi.org/10.1007/s00464-020-07555-y
Publication status	Published - 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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Cite this

Di Lorenzo, N., Antoniou, S. A., Batterham, R. L., Busetto, L., Godoroja, D., Iossa, A., Carrano, F. M., Agresta, F., Alarcon, I., Azran, C., Bouvy, N., Ponz, C. B., Buza, M., Copaescu, C., De Luca, M., Dicker, D., Di Vincenzo, A., Felsenreich, D. M., Francis, N. K., ... Silecchia, G. (2020). Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP. Surgical endoscopy and other interventional techniques, 34(6), 2332-2358. https://doi.org/10.1007/s00464-020-07555-y

@article{5d7b07e77a844db993483034d65e048c,

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

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.",

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",

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

note = "Funding Information: We would like to thank Prof. Lilian Kow, President of IFSO and Director of the Adelaide Bariatric Centre; and Prof. Scott Shikora, Director of the Center for Metabolic and Bariatric Surgery at Brigham and Women?s Hospital and Professor of Surgery at Harvard Medical School, President Elect of IFSO for their external review of these guidelines. The input of Mr. Carlos Oliveira as patient representative is greatly appreciated. We would like to extend our special thanks to Zbigniew Le? for kindly providing a trial version of GRADEpro for enterprises, including PanelVoice 2.0. Funding Information: Evidence supporting the need for postoperative nutritional and behavioral counseling is supported by a meta-analysis of 6 RCTs []. At 12-moth follow-up, the WMD of EWL was 11\% (95\% CI 3\% to 19\%) in favor of the intervention. Certainty of the evidence was, however, very low, due to risk of bias, inconsistency and indirectness because of the variety of interventions (Supplementary Table S35). Under consideration of patient preferences and the anticipated feasibility and moderate resources, the panel supported a strong recommendation. Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2020",

month = jun,

day = "1",

doi = "10.1007/s00464-020-07555-y",

language = "English",

volume = "34",

pages = "2332--2358",

journal = "Surgical endoscopy and other interventional techniques",

issn = "0930-2794",

publisher = "Springer",

number = "6",

}

Di Lorenzo, N, Antoniou, SA, Batterham, RL, Busetto, L, Godoroja, D, Iossa, A, Carrano, FM, Agresta, F, Alarcon, I, Azran, C, Bouvy, N, Ponz, CB, Buza, M, Copaescu, C, De Luca, M, Dicker, D, Di Vincenzo, A, Felsenreich, DM, Francis, NK, Fried, M, Prats, BG, Goitein, D, Halford, JCG, Herlesova, J, Kalogridaki, M, Ket, H, Morales-Conde, S, Piatto, G, Prager, G, Pruijssers, S, Pucci, A, Rayman, S, Romano, E, Sanchez-Cordero, S, Vilallonga, R & Silecchia, G 2020, 'Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP', Surgical endoscopy and other interventional techniques, vol. 34, no. 6, pp. 2332-2358. https://doi.org/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, N.; Antoniou, S.A.; Batterham, R.L. et al.
In: Surgical endoscopy and other interventional techniques, Vol. 34, No. 6, 01.06.2020, p. 2332-2358.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

AU - Di Lorenzo, N.

AU - Antoniou, S.A.

AU - Batterham, R.L.

AU - Busetto, L.

AU - Godoroja, D.

AU - Iossa, A.

AU - Carrano, F.M.

AU - Agresta, F.

AU - Alarcon, I.

AU - Azran, C.

AU - Bouvy, N.

AU - Ponz, C.B.

AU - Buza, M.

AU - Copaescu, C.

AU - De Luca, M.

AU - Dicker, D.

AU - Di Vincenzo, A.

AU - Felsenreich, D.M.

AU - Francis, N.K.

AU - Fried, M.

AU - Prats, B.G.

AU - Goitein, D.

AU - Halford, J.C.G.

AU - Herlesova, J.

AU - Kalogridaki, M.

AU - Ket, H.

AU - Morales-Conde, S.

AU - Piatto, G.

AU - Prager, G.

AU - Pruijssers, S.

AU - Pucci, A.

AU - Rayman, S.

AU - Romano, E.

AU - Sanchez-Cordero, S.

AU - Vilallonga, R.

AU - Silecchia, G.

N1 - Funding Information: We would like to thank Prof. Lilian Kow, President of IFSO and Director of the Adelaide Bariatric Centre; and Prof. Scott Shikora, Director of the Center for Metabolic and Bariatric Surgery at Brigham and Women?s Hospital and Professor of Surgery at Harvard Medical School, President Elect of IFSO for their external review of these guidelines. The input of Mr. Carlos Oliveira as patient representative is greatly appreciated. We would like to extend our special thanks to Zbigniew Le? for kindly providing a trial version of GRADEpro for enterprises, including PanelVoice 2.0. Funding Information: Evidence supporting the need for postoperative nutritional and behavioral counseling is supported by a meta-analysis of 6 RCTs []. At 12-moth follow-up, the WMD of EWL was 11% (95% CI 3% to 19%) in favor of the intervention. Certainty of the evidence was, however, very low, due to risk of bias, inconsistency and indirectness because of the variety of interventions (Supplementary Table S35). Under consideration of patient preferences and the anticipated feasibility and moderate resources, the panel supported a strong recommendation. Publisher Copyright: © 2020, The Author(s).

PY - 2020/6/1

Y1 - 2020/6/1

N2 - 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.

AB - 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.

KW - agree ii

KW - bariatric surgery

KW - duodenal switch

KW - eaes

KW - follow-up

KW - grade

KW - guidelines

KW - intensive medical-management

KW - laparoscopic sleeve gastrectomy

KW - morbidly obese-patients

KW - obesity

KW - quality-of-life

KW - staple line reinforcement

KW - type-2 diabetes-mellitus

KW - weight-loss

KW - y gastric bypass

KW - STAPLE LINE REINFORCEMENT

KW - DUODENAL SWITCH

KW - Bariatric surgery

KW - Y GASTRIC BYPASS

KW - FOLLOW-UP

KW - MORBIDLY OBESE-PATIENTS

KW - Guidelines

KW - LAPAROSCOPIC SLEEVE GASTRECTOMY

KW - AGREE II

KW - INTENSIVE MEDICAL-MANAGEMENT

KW - QUALITY-OF-LIFE

KW - TYPE-2 DIABETES-MELLITUS

KW - Obesity

KW - WEIGHT-LOSS

KW - EAES

KW - GRADE

U2 - 10.1007/s00464-020-07555-y

DO - 10.1007/s00464-020-07555-y

M3 - Article

C2 - 32328827

SN - 0930-2794

VL - 34

SP - 2332

EP - 2358

JO - Surgical endoscopy and other interventional techniques

JF - Surgical endoscopy and other interventional techniques

IS - 6

ER -

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

Abstract

Keywords

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