The first modified Delphi consensus statement on sleeve gastrectomy
Yükleniyor...
Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Sleeve gastrectomy (SG) is the commonest bariatric procedure worldwide. Yet there is significant variation in practice concerning its various aspects. This paper report results from the first modified Delphi consensus-building exercise on SG. Methods: We established a committee of 54 globally recognized opinion makers in this field. The committee agreed to vote on several statements concerning SG. An agreement or disagreement amongst ? 70.0% experts was construed as a consensus. Results: The committee achieved a consensus of agreement (n = 71) or disagreement (n = 7) for 78 out of 97 proposed statements after two rounds of voting. The committee agreed with 96.3% consensus that the characterization of SG as a purely restrictive procedure was inaccurate and there was 88.7% consensus that SG was not a suitable standalone, primary, surgical weight loss option for patients with Barrett's esophagus (BE) without dysplasia. There was an overwhelming consensus of 92.5% that the sleeve should be fashioned over an orogastric tube of 36-40 Fr and a 90.7% consensus that surgeons should stay at least 1 cm away from the angle of His. Remarkably, the committee agreed with 81.1% consensus that SG patients should undergo a screening endoscopy every 5 years after surgery to screen for BE. Conclusion: A multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic.
Açıklama
Anahtar Kelimeler
Bariatric Surgery, Gastric Sleeve, Obesity Surgery, Sleeve Gastrectomy
Kaynak
Surgical Endoscopy
WoS Q Değeri
Q1
Scopus Q Değeri
N/A
Cilt
Sayı
Künye
Mahawar, K. K., Omar, I., Singhal, R., Aggarwal, S., Allouch, M. I., Alsabah, S. K., Angrisani, L., Badiuddin, F. M., Balibrea, J. M., Bashir, A., Behrens, E., Bhatia, K., Biertho, L., Biter, L. U., Dargent, J., De Luca, M., DeMaria, E., Elfawal, M. H., Fried, M., Gawdat, K. A., … Aminian, A. (2021). The first modified Delphi consensus statement on sleeve gastrectomy. Surgical endoscopy, 10.1007/s00464-020-08216-w. Advance online publication. https://doi.org/10.1007/s00464-020-08216-w
