Skip to main content
Top
Published in: Surgical Endoscopy 6/2020

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 | Issue 6/2020

Login to get access

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.
Appendix
Available only for authorised users
Literature
2.
go back to reference WHO (2012) WHO obesity and overweight. World Heal Organ Media Cent Fact Sheet No 311 WHO (2012) WHO obesity and overweight. World Heal Organ Media Cent Fact Sheet No 311
8.
go back to reference Pollack A (2019) A.M.A. Recognizes obesity as a disease—The New York Times. The New York Times. Pollack A (2019) A.M.A. Recognizes obesity as a disease—The New York Times. The New York Times.
9.
go back to reference Schünemann H, Brożek J, Guyatt G, Oxman A (2009) GRADE handbook for grading quality of evidence and strength of recommendations. The GRADE Working Group. Schünemann H, Brożek J, Guyatt G, Oxman A (2009) GRADE handbook for grading quality of evidence and strength of recommendations. The GRADE Working Group.
12.
go back to reference Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GDRD (2000) MOOSE guidelines for meta-analyses and systematic reviews of observational studies. JAMA Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GDRD (2000) MOOSE guidelines for meta-analyses and systematic reviews of observational studies. JAMA
16.
go back to reference Sterne J, Hernán M, Reeves B, et al (2016) Risk of bias in non-randomized studies of interventions (ROBINS-I): detailed guidance. BMJ Sterne J, Hernán M, Reeves B, et al (2016) Risk of bias in non-randomized studies of interventions (ROBINS-I): detailed guidance. BMJ
20.
go back to reference GRADE Working Group (2015) GRADEpro guideline development tool [software]. McMaster Univ GRADE Working Group (2015) GRADEpro guideline development tool [software]. McMaster Univ
82.
go back to reference Flint R (2015) A comparison of laparoscopic adjustable gastric band and laparoscopic sleeve gastrectomy: a single surgeon’s experience. N Z Med J 128:56PubMed Flint R (2015) A comparison of laparoscopic adjustable gastric band and laparoscopic sleeve gastrectomy: a single surgeon’s experience. N Z Med J 128:56PubMed
101.
go back to reference Osland E, Yunus RM, Khan S, Alodat T, Memon B, Memon MA (2016) Postoperative early major and minor complications in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review. Obes Surg 26(10):2273–2284. https://doi.org/10.1007/s11695-016-2101-8 CrossRefPubMed Osland E, Yunus RM, Khan S, Alodat T, Memon B, Memon MA (2016) Postoperative early major and minor complications in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review. Obes Surg 26(10):2273–2284. https://​doi.​org/​10.​1007/​s11695-016-2101-8 CrossRefPubMed
133.
go back to reference Basbug A, Ellibeş Kaya A, Dogan S, Pehlivan M, Goynumer G (2018) Does pregnancy interval after laparoscopic sleeve gastrectomy affect maternal and perinatal outcomes? J Matern Fetal Neonatal Med 32(22):3764–3770CrossRef Basbug A, Ellibeş Kaya A, Dogan S, Pehlivan M, Goynumer G (2018) Does pregnancy interval after laparoscopic sleeve gastrectomy affect maternal and perinatal outcomes? J Matern Fetal Neonatal Med 32(22):3764–3770CrossRef
141.
go back to reference Busetto L, Torres AJ, Morales S et al (2015) Impact of Abiliti® sensor-based feedback on eating behavior, physical activity and weight-loss in obese patients. Obes Surg 28(6):1766–1774 Busetto L, Torres AJ, Morales S et al (2015) Impact of Abiliti® sensor-based feedback on eating behavior, physical activity and weight-loss in obese patients. Obes Surg 28(6):1766–1774
143.
go back to reference Torres A, Meyer G, Conde SM, et al (2015) Closed-loop gastric electrical stimulation (CLGES) with behavioral feedback for treatment of obesity: prospective multicenter trial with 18 month follow-up. Obes Surg Torres A, Meyer G, Conde SM, et al (2015) Closed-loop gastric electrical stimulation (CLGES) with behavioral feedback for treatment of obesity: prospective multicenter trial with 18 month follow-up. Obes Surg
Metadata
Title
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
Publication date
01-06-2020
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 6/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07555-y

Other articles of this Issue 6/2020

Surgical Endoscopy 6/2020 Go to the issue