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

Autor: De Luca M; Surgery Unit, Azienda ULSS5 Polesana, Ospedale di Rovigo, Rovigo, Italy., Silverii A; Diabetology, Careggi University Hospital, Florence, Italy., Zese M; Surgery Unit, Azienda ULSS5 Polesana, Ospedale di Rovigo, Rovigo, Italy. monica.zese@aulss5.veneto.it., Galasso G; Endoscopy Unit, Pineta Grande Hospital, Castel Volturno, Caserta, Italy., Bellini R; Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy., Carbonelli MG; U.O.Dietology and Nutrition San Camillo Forlanini Hospital, Rome, Italy., Cataldo R; Research Unit of Anesthesia and Intensive Care, Università Campus Bio Medico di Roma e Fondazione Policlinico, Rome, Italy., Cerbone M; Distretto 41-UOMI, ASL NAPOLI2 Nord, Naples, Italy., Chianelli M; Unit of Endocrinology, Ospedale Regina Apostolorum Albano, Rome, Italy., Gregoris FC; Clinical Nutrition Service, ASUGI, S.Giovanni Hospital, Gorizia, Italy., Conigliaro R; Gastroenterology and Digestive Endoscopy Unit_AOU-Modena, Modena, Italy., Cuttica CM; Unit of Endocrinology, Galliera Hospital, Genoa, Italy., de Werra C; University of Naples Federico II, Naples, Italy., Di Simone M; Surgery of the Alimentary Tract, Sant'Orsola Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy., Docimo L; Division of General, Oncologic, Mini-Invasive and Obesity Surgery, University of Study of Campania 'Luigi Vanvitelli', Naples, Italy., Musella M; University of Naples Federico II, Naples, Italy., Gagliardi G; AULSS 5 Polesana, Anesthesiology, Intensive Care and Pain Medicine, Rovigo, Italy., Angrisani L; University of Naples Federico II, Naples, Italy., Di Lorenzo N; University 'Tor Vergata', Rome, Italy., Boskoski I; Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy., Genco A; Department of Obesity Surgery, Policlinico Umberto I, Rome, Italy., Raffaelli M; Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy., Anderloni A; Department of Gastroenterology and Endoscopy, IRCCS San Matteo Pavia, Pavia, Italy., Casella G; Department of Surgery, University 'La Sapienza', Rome, Italy., Galloro G; Digestive Surgical Endoscopy Unit, University of Naples, Naples, Italy., Goracci A; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy., Lorenzoni V; Scuola Superiore Sant'Anna, Pisa, Italy., Manta R; UOC di Gastroenterologia ed Endoscopia Digestiva, Ospedali Riuniti di Livorno, Livorno, Italy., Marzullo P; Endocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy., Medea G; General Practitioner, Brescia, Italy., Navarra G; Department of Human Pathology, University of Messina, Messina, Italy., Ortenzi M; Clinica Chirurgica Generale e d'Urgenza, AOU Umberto I-Lancisi-Salesi, Ancona, Italy., Paolini B; Dietology, UOSA Dietetical and Clinical Nutrition, Santa Maria alle Scotte Hospital, Siena, Italy., Piazza L; UOC Chirurgia Generale e d'Urgenza, Arnas Garibaldi, Catania, Italy., Porri D; Casa di Cura Carmona, Messina, Italy., Rahimi F; Clinical Nutrition Unit, Molinette University Hospital of Turin, Turin, Italy., Rugolotto S; Pediatric Unit, Rovigo Hospital, 45030, Rovigo, Italy., Pontesilli G; Rovigo Hospital, Padua University, Rovigo, Italy., Sarnelli G; Unit of Digestive and Nutritional Pathophysiology, Department of Clinical Medicine and Surgery, University of Naples 'Federico II', Naples, Italy., Sessa L; Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy., Zani I; Amici Obesi ONLUS Milano, 20128, Milan, Italy., Zappa MA; ASST Fatebenefratelli-Sacco, 20157, Milan, Italy., Bandini G; Division of Internal Medicine, Careggi University Hospital, Florence, Italy., Ragghianti B; Diabetology, Careggi University Hospital, Florence, Italy., Monami M; Diabetology, Careggi University Hospital, Florence, Italy.
Jazyk: angličtina
Zdroj: Updates in surgery [Updates Surg] 2024 Sep; Vol. 76 (5), pp. 1865-1877. Date of Electronic Publication: 2024 Jul 10.
DOI: 10.1007/s13304-024-01843-1
Abstrakt: Obesity/overweight and its complications are a growing problem in many countries. Italian Society of Bariatric and Metabolic Surgery for Obesity (Società Italiana di Chirurgia dell'Obesità 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/m 2 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.
(© 2024. Italian Society of Surgery (SIC).)
Databáze: MEDLINE
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