Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

被引:91
作者
Bhandari, Mohit [1 ]
Fobi, M. A. L. [1 ]
Buchwald, Jane N. [2 ]
Abbass, Alaa
Abu Dayyeh, Barham K.
Alamo, Munir
Al-Jarallah, Mohammed
Angrisani, Luigi
Behrens, Estuardo J.
Bhasker, Aparna G.
Boza, Camilo
Buchwald, Henry
Chevallier, Jean-Marc
Chowbey, Pradeep
Cummings, David E.
Dargent, Jerome
De Luca, Maurizio
DeMaria, Eric J.
DePaula, Aureo
Dixon, John
Dolezalova, Karin
Fried, Martin
Gagner, Michel
Neto, Manoel Galvao
Goel, Ramen
Greve, Jan W.
Herrera, Miguel F.
Himpens, Jacques
Huang, Chih-Kun
Huerta, Nelson R.
Iordache, Nicolae N.
Jammu, Gurvinder S.
Kasama, Kazunori
Khullar, Rajesh
Kothari, Shanu N.
Kow, Lilian
Lakdawala, Muffazal
Lavryk, Andriy S.
Mahawar, Kamal
Mahdy, Tarek
Mattar, Samer
Melissas, John
Menon, Vinod
Gari, Mohammed K. Mirza
Narwaria, Mahendra
Nimeri, Abdelrahman
O'Brien, Paul E.
Ospanov, Oral B.
Prasad, Arun
Pryor, Aurora D.
机构
[1] Mohak Bariatr & Robot Surg Ctr, Sri Aurobindo Med Coll & Postgrad Inst, Dept Surg, Indore, Madhya Pradesh, India
[2] Medwrite Med Commun, Div Sci Res Writing, Maiden Rock, WI USA
关键词
Bariatric surgery; Metabolic surgery; Standardization; Surgical technique; Anatomic; Gastric bypass; Sleeve gastrectomy; Type; 2; diabetes; ROUX-EN-Y; MINI-GASTRIC BYPASS; DUODENAL-JEJUNAL BYPASS; LAPAROSCOPIC SLEEVE GASTRECTOMY; LOOP DUODENOJEJUNAL BYPASS; LONG-TERM OUTCOMES; VERTICAL ISOLATED GASTROPLASTY; TYPE-2; DIABETES-MELLITUS; VAGAL NERVE BLOCKADE; WEIGHT-LOSS;
D O I
10.1007/s11695-019-04032-x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Standardization of the key measurements of a procedure's finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure's key anatomic alterations. Consensus was defined as >= 70% agreement. Results The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22-24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by >= 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters' slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.
引用
收藏
页码:309 / 345
页数:37
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