Published in:
Open Access
01-06-2020 | Obesity | Guidelines
Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP
Authors:
Nicola Di Lorenzo, Stavros A. Antoniou, Rachel L. Batterham, Luca Busetto, Daniela Godoroja, Angelo Iossa, Francesco M. Carrano, Ferdinando Agresta, Isaias Alarçon, Carmil Azran, Nicole Bouvy, Carmen Balaguè Ponz, Maura Buza, Catalin Copaescu, Maurizio De Luca, Dror Dicker, Angelo Di Vincenzo, Daniel M. Felsenreich, Nader K. Francis, Martin Fried, Berta Gonzalo Prats, David Goitein, Jason C. G. Halford, Jitka Herlesova, Marina Kalogridaki, Hans Ket, Salvador Morales-Conde, Giacomo Piatto, Gerhard Prager, Suzanne Pruijssers, Andrea Pucci, Shlomi Rayman, Eugenia Romano, Sergi Sanchez-Cordero, Ramon Vilallonga, Gianfranco Silecchia
Published in:
Surgical Endoscopy
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Issue 6/2020
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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.