Upcoming Italian clinical practice guidelines on endoscopic bariatric treatment of overweight and obesity: design and methodological aspects

被引：3

作者：

De Luca, Maurizio ^{[1
]}

Silverii, Antonio ^{[2
]}

Zese, Monica ^{[1
]}

Galasso, Giovanni ^{[3
]}

Bellini, Rosario ^{[4
]}

Carbonelli, Maria Grazia ^{[5
]}

Cataldo, Rita ^{[6
]}

Cerbone, Mariarosaria ^{[7
]}

Chianelli, Marco ^{[8
]}

Gregoris, Francesca Clemente ^{[9
]}

Conigliaro, Rita ^{[10
]}

Cuttica, Carla Micaela ^{[11
]}

de Werra, Carlo ^{[12
]}

Di Simone, Massimo ^{[13
]}

Docimo, Ludovico ^{[14
]}

Musella, Mario ^{[12
]}

Gagliardi, Giuseppe ^{[15
]}

Angrisani, Luigi ^{[12
]}

Di Lorenzo, Nicola ^{[16
]}

Boskoski, Ivo ^{[17
]}

Genco, Alfredo ^{[18
]}

Raffaelli, Marco ^{[17
]}

Anderloni, Andrea ^{[19
]}

Casella, Giovanni ^{[20
]}

Galloro, Giuseppe ^{[21
]}

Goracci, Arianna ^{[22
]}

Lorenzoni, Valentina ^{[23
]}

Manta, Raffaele ^{[24
]}

Marzullo, Paolo ^{[25
]}

Medea, Gerardo ^{[26
]}

Navarra, Giuseppe ^{[26
]}

Ortenzi, Monica ^{[27
]}

Paolini, Barbara ^{[28
]}

Piazza, Luigi ^{[29
]}

Porri, Debora ^{[30
]}

Rahimi, Farnaz ^{[31
]}

Rugolotto, Simone ^{[32
]}

Pontesilli, Giulia ^{[33
]}

Sarnelli, Giovanni ^{[34
]}

Sessa, Luca ^{[17
]}

Zani, Iris ^{[35
]}

Zappa, Marco Antonio ^{[36
]}

Bandini, Giulia ^{[37
]}

Ragghianti, Benedetta ^{[2
]}

Monami, Matteo ^{[2
]}

机构：

[1] Azienda ULSS5 Polesana, Osped Rovigo, Surg Unit, Rovigo, Italy

[2] Careggi Univ Hosp, Diabetol, Florence, Italy

[3] Pineta Grande Hosp, Endoscopy Unit, Castel Volturno, Caserta, Italy

[4] Azienda Osped Univ Pisana, Pisa, Italy

[5] San Camillo Forlanini Hosp, UO Dietol & Nutr, Rome, Italy

[6] Univ Campus Bio Med Roma & Fdn Policlin, Res Unit Anesthesia & Intens Care, Rome, Italy

[7] ASL NAPOLI2 Nord, Dist 41 UOMI, Naples, Italy

[8] Osped Regina Apostolorum Albano, Unit Endocrinol, Rome, Italy

[9] S Giovanni Hosp, Clin Nutr Serv, ASUGI, Gorizia, Italy

[10] AOU Modena, Gastroenterol & Digest Endoscopy Unit, Modena, Italy

[11] Galliera Hosp, Unit Endocrinol, Genoa, Italy

[12] Univ Naples Federico II, Naples, Italy

[13] Alma Mater Studiorum Univ Bologna, Surg Alimentary Tract, St Orsola Hosp, Bologna, Italy

[14] Univ Study Campania Luigi Vanvitelli, Div Gen Oncol Mini Invas & Obes Surg, Naples, Italy

[15] AULSS 5 Polesana, Anesthesiol Intens Care & Pain Med, Rovigo, Italy

[16] Univ Tor Vergata, Rome, Italy

[17] Fdn Policlin Univ A Gemelli IRCCS, Dept Med & Surg Sci, Rome, Italy

[18] Policlin Umberto 1, Dept Obes Surg, Rome, Italy

[19] IRCCS San Matteo Pavia, Dept Gastroenterol & Endoscopy, Pavia, Italy

[20] Univ Roma La Sapienza, Dept Surg, Rome, Italy

[21] Univ Naples Federico II, Digest Surg Endoscopy Unit, Naples, Italy

[22] Univ Siena, Dept Mol & Dev Med, Siena, Italy

[23] Scuola Super Sant Anna, Pisa, Italy

[24] Osped Riuniti Livorno, UOC Gastroenterol & Endoscopia Digest, Livorno, Italy

[25] Univ Piemonte Orientale, Dept Translat Med, Endocrinol, Novara, Italy

[26] Univ Messina, Dept Human Pathol, Messina, Italy

[27] AOU Umberto I Lancisi Salesi, Clin Chirurg Gen & Urgenza, Ancona, Italy

[28] Santa Maria Scotte Hosp, Dietol, UOSA Dietet & Clin Nutr, Siena, Italy

[29] Arnas Garibaldi, UOC Chirurg Gen & Urgenza, Catania, Italy

[30] Casa Cura Carmona, Messina, Italy

[31] Molinette Univ Hosp Turin, Clin Nutr Unit, Turin, Italy

[32] Rovigo Hosp, Pediat Unit, I-45030 Rovigo, Italy

[33] Univ Padua, Rovigo Hosp, Rovigo, Italy

[34] Univ Naples Federico II, Dept Clin Med & Surg, Unit Digest & Nutr Pathophysiol, Naples, Italy

[35] Amici Obesi ONLUS Milano, I-20128 Milan, Italy

[36] ASST Fatebenefratelli Sacco, I-20157 Milan, Italy

[37] Careggi Univ Hosp, Div Internal Med, Florence, Italy

来源：

UPDATES IN SURGERY | 2024年 / 76卷 / 05期

关键词：

Obesity; Overweight; Guidelines; Endoscopic bariatric surgery; ROUX-EN-Y; GASTRIC BYPASS; WEIGHT REGAIN; SURGERY;

D O I：

10.1007/s13304-024-01843-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Obesity/overweight and its complications are a growing problem in many countries. Italian Society of Bariatric and Metabolic Surgery for Obesity (Societ & agrave; Italiana di Chirurgia dell'Obesit & agrave; e delle Malattie Metaboliche-SICOB) decided to develop the first Italian guidelines for the endoscopic bariatric treatment of obesity. The creation of SICOB Guidelines is based on an extended work made by a panel of 44 members and a coordinator. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology has been used to decide the aims, reference population, and target health professionals. Clinical questions have been created using the PICO (patient, intervention, comparison, outcome) conceptual framework. We will perform systematic reviews, formal meta-analyses, and network meta-analyses for each PICO and critical outcomes aimed at assessing and rating the efficacy and safety of endoscopic bariatric procedures in comparison with either no interventions, lifestyle interventions, or approved anti-obesity treatments in trials with a follow-up of at least 52 weeks. For PICO on temporary endoscopic bariatric treatments, we will also consider RCT with a minimum duration of 6 months. The panel proposed 8 questions, organized into four domains: A. Indication for endoscopic bariatric surgery; B. Revisional surgery; C. Temporary gastric and duodenal-jejunal procedures; D. Endoscopic diagnosis/treatment of bariatric and metabolic surgery complications. These guidelines will apply to patients aged >= 14 years) with body mass index (BMI) >= 27 kg/m2 and requiring endoscopic bariatric surgery or endoscopic diagnostic and/or therapeutic procedures. The areas covered by the clinical questions included indications of endoscopic bariatric surgery, types of surgery, revisional surgery, and management of bariatric and metabolic surgery complications.

引用

页码：1865 / 1877

页数：13

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