Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

被引：332

作者：

Di Lorenzo, Nicola ^{[1
]}

Antoniou, Stavros A. ^{[2
,3
]}

Batterham, Rachel L. ^{[4
,5
]}

Busetto, Luca ^{[6
]}

Godoroja, Daniela ^{[7
]}

Iossa, Angelo ^{[8
]}

Carrano, Francesco M. ^{[9
,10
]}

Agresta, Ferdinando ^{[11
]}

Alarcon, Isaias ^{[12
]}

Azran, Carmil ^{[13
]}

Bouvy, Nicole ^{[14
]}

Balague Ponz, Carmen ^{[15
]}

Buza, Maura ^{[16
]}

Copaescu, Catalin ^{[16
]}

De Luca, Maurizio ^{[17
]}

Dicker, Dror ^{[18
]}

Di Vincenzo, Angelo ^{[6
]}

Felsenreich, Daniel M. ^{[19
]}

Francis, Nader K. ^{[20
]}

Fried, Martin ^{[21
]}

Prats, Berta Gonzalo ^{[15
]}

Goitein, David ^{[22
]}

Halford, Jason C. G. ^{[23
,24
]}

Herlesova, Jitka ^{[21
]}

Kalogridaki, Marina ^{[25
]}

Ket, Hans ^{[26
]}

Morales-Conde, Salvador ^{[12
]}

Piatto, Giacomo ^{[17
]}

Prager, Gerhard ^{[19
]}

Pruijssers, Suzanne ^{[14
]}

Pucci, Andrea ^{[4
,5
]}

Rayman, Shlomi ^{[22
]}

Romano, Eugenia ^{[23
,24
]}

Sanchez-Cordero, Sergi ^{[27
]}

Vilallonga, Ramon ^{[28
]}

Silecchia, Gianfranco ^{[8
]}

机构：

[1] Univ Roma Tor Vergata, Dept Surg Sci, Rome, Italy

[2] European Univ Cyprus, Dept Surg, Nicosia, Cyprus

[3] Mediterranean Hosp Cyprus, Dept Surg, Limassol, Cyprus

[4] UCL, Ctr Obes Res, London, England

[5] Natl Inst Hlth Res, Biomed Res Ctr, London, England

[6] Univ Hosp Padua, Ctr Study & Integrated Treatment Obes, DIMED, Internal Med 3,Dept Med, Padua, Italy

[7] Ponderas Acad Hosp Regina Maria, Dept Anesthesiol, Bucharest, Romania

[8] La Sapienza Univ Rome Polo Pontino, Fac Pharm & Med, Bariatr Ctr Excellence IFSO EC, Dept Med Surg Sci & Biotechnol, Via F Faggiana 1668, I-04100 Latina, Italy

[9] Univ Insubria, Osped Circolo, Dept Endocrine & Metab Surg, Varese, Italy

[10] Fdn Macchi, ASST Sette Laghi, Varese, Italy

[11] ULSS5 Veneto, Dept Gen Surg, Adria, Italy

[12] Univ Hosp Virgen del Rocio, Dept Gen & Digest Surg, Unit Innovat Minimally Invas Surg, Seville 41010, Spain

[13] Herzliya Med Ctr, Herzliyya, Israel

[14] Maastricht Univ, Dept Surg, Med Ctr, Maastricht, Netherlands

[15] UAB, Hosp St Pau, Barcelona, Spain

[16] Ponderas Acad Hosp Regina Maria, Dept Gen Surg, Bucharest, Romania

[17] Castelfranco & Montebelluna Hosp, Div Gen Surg, Treviso, Italy

[18] Tel Aviv Univ, Hasharon Hosp, Rabin Med Ctr, Sackler Sch Med,Dept Internal Med D, Tel Aviv, Israel

[19] Vienna Med Univ, Dept Surg, Div Gen Surg, Vienna, Austria

[20] Yeovil Dist Hosp NHS Fdn Trust, Dept Gen Surg, Yeovil, England

[21] OB Klin, Ctr Treatment Obes & Metab Disorders, Prague, Czech Republic

[22] Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel

[23] Chaim Sheba Med Ctr, Dept Surg C, Ramat Gan, Israel

[24] Univ Liverpool, Inst Psychol Hlth & Soc, Dept Psychol Sci, Liverpool, Merseyside, England

[25] Gen Hosp Attica KAT, Emergency Dept, Athens, Greece

[26] Vrije Univ Amsterdam, Amsterdam, Netherlands

[27] Consorci Sanitari Anoia, Gen Surg Dept, Barcelona, Spain

[28] Univ Autonoma Barcelona, Vall DHebron Univ Hosp, Ctr Excellence EAC BC, Gen Surg Dept,Endocrine Metab & Bariatr Unit, Barcelona, Spain

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2020年 / 34卷 / 06期

关键词：

Bariatric surgery; Obesity; Guidelines; EAES; GRADE; AGREE II; Y GASTRIC BYPASS; LAPAROSCOPIC SLEEVE GASTRECTOMY; QUALITY-OF-LIFE; INTENSIVE MEDICAL-MANAGEMENT; STAPLE LINE REINFORCEMENT; TYPE-2; DIABETES-MELLITUS; MORBIDLY OBESE-PATIENTS; WEIGHT-LOSS; DUODENAL SWITCH; FOLLOW-UP;

D O I：

10.1007/s00464-020-07555-y

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：2332 / 2358

页数：27

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[91] A Prospective Randomized Trial of Laparoscopic Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding for the Treatment of Morbid Obesity Outcomes, Quality of Life, and Costs [J].