IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) Consensus Conference Statement on One-Anastomosis Gastric Bypass (OAGB-MGB): Results of a Modified Delphi Study
| Autor: | Ramos A. C., Chevallier J. -M., Mahawar K., Brown W., Kow L., White K. P., Shikora S., Zeid M. A., Al Sabah S., Antozzi P., Bashah M., Bashir A., Behrens E., Bhandari M., Bottino A., Carbajo M., da Silva L. E., De Luca M., DeMaria E., ElFawal M. H., Fobi M. A. L., Gari M. K. M., Hargroder D. E., Herrera G., Higa K., Himpens J., Jammu G. S., Khammas A., Kular K. S., Lakdawala M., Layani L., Luque-de-Leon E., Musella M., Pacheco F., Parmar C., Peraglie C., Prager G., Prasad A., Rheinwalt K. P., Ribeiro R., Robert M., Rosenthal R., Safadi B., Sakran N., Shabbir A., Small P. K., Suter M., Taha O., Taylor C., Verboonen S., Wang C., Weiner R., Williams N. |
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| Přispěvatelé: | Ramos, A. C., Chevallier, J. -M., Mahawar, K., Brown, W., Kow, L., White, K. P., Shikora, S., Zeid, M. A., Al Sabah, S., Antozzi, P., Bashah, M., Bashir, A., Behrens, E., Bhandari, M., Bottino, A., Carbajo, M., da Silva, L. E., De Luca, M., Demaria, E., Elfawal, M. H., Fobi, M. A. L., Gari, M. K. M., Hargroder, D. E., Herrera, G., Higa, K., Himpens, J., Jammu, G. S., Khammas, A., Kular, K. S., Lakdawala, M., Layani, L., Luque-de-Leon, E., Musella, M., Pacheco, F., Parmar, C., Peraglie, C., Prager, G., Prasad, A., Rheinwalt, K. P., Ribeiro, R., Robert, M., Rosenthal, R., Safadi, B., Sakran, N., Shabbir, A., Small, P. K., Suter, M., Taha, O., Taylor, C., Verboonen, S., Wang, C., Weiner, R., Williams, N. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Empirical data Statement (logic) Endocrinology Diabetes and Metabolism media_common.quotation_subject education Gastric bypass Modified delphi 030209 endocrinology & metabolism Anastomosis Delphi One-anastomosis gastric bypass 03 medical and health sciences 0302 clinical medicine Voting medicine Obesity Mini-gastric bypa media_common Nutrition and Dietetics business.industry Consensus conference medicine.disease Surgery Consensus statement 030211 gastroenterology & hepatology business |
| Popis: | Background: One-anastomosis gastric bypass (OAGB-MGB) is currently the third performed primary bariatric surgical procedure worldwide. However, the procedure is hampered by numerous controversies and there is considerable variability in surgical technique, patient selection, and pre- and postoperative care among the surgeons performing this procedure. This paper reports the results of a modified Delphi consensus study organized by the International Federation for Surgery of Obesity and Metabolic Disorders (IFSO). Methods: Fifty-two internationally recognized bariatric experts from 28 countries convened for voting on 90 consensus statements over two rounds to identify those on which consensus could be reached. Inter-voter agreement of ≥ 70% was considered consensus, with voting participation ≥ 80% considered a robust vote. Results: At least 70% consensus was achieved for 65 of the 90 questions (72.2% of the items), 61 during the first round of voting and an additional four in the second round. Where consensus was reached on a binary agree/disagree or yes/no item, there was agreement with the statement presented in 53 of 56 instances (94.6%). Where consensus was reached on a statement where options favorable versus unfavorable to OAGB-MGB were provided, including statements in which OAGB-MGB was compared to another procedure, the response option favorable to OAGB-MGB was selected in 13 of 23 instances (56.5%). Conclusion: Although there is general agreement that the OAGB-MGB is an effective and usually safe option for the management of patients with obesity or severe obesity, numerous areas of non-consensus remain in its use. Further empirical data are needed. |
| Databáze: | OpenAIRE |
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