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The first modified Delphi consensus statement on sleeve gastrectomy
KK. Mahawar, I. Omar, R. Singhal, S. Aggarwal, MI. Allouch, SK. Alsabah, L. Angrisani, FM. Badiuddin, JM. Balibrea, A. Bashir, E. Behrens, K. Bhatia, L. Biertho, LU. Biter, J. Dargent, M. De Luca, E. DeMaria, MH. Elfawal, M. Fried, KA. Gawdat, Y....
Language English Country Germany
Document type Journal Article
E-resources NLK Online Full text
ProQuest Central from 2000-01-01 to 1 year agoMedline Complete (EBSCOhost) from 2003-01-01 to 1 year ago
Nursing & Allied Health Database (ProQuest) from 2000-01-01 to 1 year ago
Health & Medicine (ProQuest) from 2000-01-01 to 1 year ago
Links
PubMed
33433676
DOI
10.1007/s00464-020-08216-w
Knihovny.cz E-resources
- MeSH
- Delphi Technique MeSH
- Gastrectomy MeSH
- Weight Loss MeSH
- Consensus MeSH
- Humans MeSH
- Obesity, Morbid * surgery MeSH
- Retrospective Studies MeSH
- Treatment Outcome MeSH
- Gastric Bypass * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
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.
Ain Shams School of Medicine Cairo Egypt
All India Institute of Medical Sciences New Delhi India
Apollo Hospitals New Delhi India
Austin Health Melbourne Australia
Bariatric Unit South Tyneside and Sunderland NHS Trust Sunderland UK
Birmingham Heartlands Hospital University Hospital Birmingham NHS Foundation Trust Birmingham UK
Bouchard Private Hospital Elsan Marseille France
Brigham and Women's Hospital Harvard Medical School Boston USA
Castelfranco Montebelluna Hospitals Montebelluna Italy
Centro Médico Puerta de Hierro Andares Zapopan Mexico
CHI Memorial Hospital Chattanooga TN USA
CHIREC Delta Hospital Brussels Belgium
Cleveland Clinic Cleveland USA
Cleveland Clinic Weston FL USA
Concord Repatriation General Hospital Sydney Australia
Department for Metabolic Surgery Sana Klinikum Offenbach Offenbach Germany
Diakonissen and Wehrle Private Hospital Salzburg Austria
Dutch Obesity Clinic The Hague Netherlands
East Carolina University Greenville USA
Emek Medical Center Afula Israel
Faculty of Health Sciences and Wellbeing University of Sunderland Sunderland UK
Flinders University Adelaide South Australia Australia
Franciscus Gasthuis Rotterdam Rotterdam Netherlands
GBMC at Jordan Hospital Amman Jordan
Hospital Clínic de Barcelona Barcelona Spain
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico Mexico
Istinye University Istanbul Turkey
Jorge Manuel Nunes dos Santos Lisbon Portugal
KF University Medical Center Nur Sultan Kazakhstan
Kuwait University Kuwait Kuwait
Makassed General Hospital Beirut Lebanon
Medical University of Vienna Vienna Austria
Medical University of Warsaw Warsaw Poland
Mediclinic Parkview Dubayy United Arab Emirates
National University Hospital Singapore Singapore
New Life Center Guatemala Guatemala
New York University School of Medicine New York USA
OB Klinika Center for Treatment of Obesity and Metabolic Disorders Prague Czech Republic
Oregon Health and Science University Portland USA
Oslo University Hospital Oslo Norway
Polyclinique Lyon Nord Rillieux la Pape France
Quebec Heart and Lung Institute Laval University Quebec Canada
The 1st Affiliated Hospital of Jinan University Guangzhou China
University Hospital Basel Basel Switzerland
University Hospitals Coventry and Warwickshire NHS Trust Coventry UK
University of Illinois Chicago USA
University of Naples Naples Italy
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