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Development of the International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) Grade-Based Guidelines on the Surgical Treatment of Obesity Using Multimodal Strategies: Design and Methodological Aspects.
De Luca, Maurizio; Belluzzi, Amanda; Salminen, Paulina; Bueter, Marco; Pujol-Rafols, Juan; Sakran, Nasser; Stier, Christine; Taskin, Halit Eren; Chiappetta, Sonja; Carrano, Francesco Maria; Di Lorenzo, Nicola; Nienhuijs, Simon; Puy, Ramón Vilallonga; Stenberg, Erik; Emous, Marloes; Prager, Gerhard; Himpens, Jacques; Felsenreich, Daniel Moritz; Iannelli, Antonio; Parmar, Chetan; Copaescu, Catalin; Fried, Martin; Ruiz-Úcar, Elena; Cohen, Ricardo V; Olmi, Stefano; Angrisani, Luigi; Ribeiro, Rui; Bandini, Giulia; Scoccimarro, Daniele; Ragghianti, Benedetta; Monami, Matteo.
Afiliación
  • De Luca M; Department of General, Emergency and Metabolic Surgery, Rovigo Hospital, 45100 Rovigo, Italy.
  • Belluzzi A; Department of General, Emergency and Metabolic Surgery, Rovigo Hospital, 45100 Rovigo, Italy.
  • Salminen P; Department of Surgery, University of Turku, 20014 Turku, Finland.
  • Bueter M; Department of Surgery and Transplantation, University Hospital Zurich, University of Zurich, 8006 Zurich, Switzerland.
  • Pujol-Rafols J; HM Delfos, 08023 Barcelona, Spain.
  • Sakran N; Department of General Surgery, Holy Family Hospital, Nazareth 1601001, Israel.
  • Stier C; The Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan 5290002, Israel.
  • Taskin HE; Department of Surgery, Bariatric Endoscopy, Medical Faculty Mannheim, Heidelberg University, 69167 Heidelberg, Germany.
  • Chiappetta S; Department of Surgery, Cerrahpasa Medical Faculty, Istanbul University, 34320 Istanbul, Turkey.
  • Carrano FM; Bariatric and Metabolic Surgery Unit, Department of General and Laparoscopic Surgery, Ospedale Evangelico Betania, 80147 Naples, Italy.
  • Di Lorenzo N; Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
  • Nienhuijs S; Department of Surgical Sciences, University of Tor Vergata, 00133 Rome, Italy.
  • Puy RV; Department of Surgery and Gastroenterology, Catharina Hospital, 5623 Eindhoven, The Netherlands.
  • Stenberg E; Endocrine-Metabolic and Bariatric Surgery Unit, Vall Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.
  • Emous M; Department of Surgery, Faculty of Medicine and Health, Örebro University, 70182 Örebro, Sweden.
  • Prager G; Center for Obesity Northern-Netherlands (CON), Department of Bariatric and Metabolic Surgery, Medical Center, 8934 Leeuwarden, The Netherlands.
  • Himpens J; Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, 1090 Vienna, Austria.
  • Felsenreich DM; Delta CHIREC Hospital (Belgian Registry), 1160 Brussels, Belgium.
  • Iannelli A; Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, 1090 Vienna, Austria.
  • Parmar C; Digestive Surgery and Liver Transplantation Unit, Université Côte d'Azur, 06103 Nice, France.
  • Copaescu C; Department of Surgery, Whittington Hospital, University College, London N19 5NF, UK.
  • Fried M; Department of Surgery, Ponderas Academic Hospital, 014142 Bucharest, Romania.
  • Ruiz-Úcar E; OB Klinika-Center for Treatment of Obesity and Metabolic Disorders, 1300 Prague, Czech Republic.
  • Cohen RV; General and Digestive Surgery Department, Fuenlabrada University Hospital, Rey Juan Carlos University, 28942 Madrid, Spain.
  • Olmi S; The Center for Obesity and Diabetes, Hospital Alemao Oswaldo Cruz, Sao Paulo 01323-20, Brazil.
  • Angrisani L; San Marco Hospital GSD, 24046 Zingonia, Italy.
  • Ribeiro R; Public Health Department, School of Medicine, University Federico II of Naples, 80138 Naples, Italy.
  • Bandini G; Centro Multidisciplinar Do Tratamento da Obesidade, Hospital Lusíadas Amadora e Lisboa, 2724-002 Amadora, Portugal.
  • Scoccimarro D; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy.
  • Ragghianti B; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy.
  • Monami M; Diabetic Foot Unit, University of Florence and AOU-Careggi, 50121 Florence, Italy.
J Clin Med ; 13(17)2024 Aug 28.
Article en En | MEDLINE | ID: mdl-39274320
ABSTRACT

Background:

The prevalence of obesity is already a worldwide health concern. The development of straightforward guidelines regarding the whole available armamentarium (i.e., medical, endoscopic, and surgical interventions in conjunction with a guidance program) is paramount to offering the best multimodal approach to patients with obesity.

Methods:

The International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) identified a panel of experts to develop the present guidelines. The panel formulated a series of clinical questions (based on the patient, intervention, comparison, and outcome conceptual framework), which have been voted on and approved. A GRADE methodology will be applied to assess the quality of evidence and formulate recommendations employed to minimize selection and information biases. This approach aims to enhance the reliability and validity of recommendations, promoting greater adherence to the best available evidence.

Results:

These guidelines are intended for adult patients with a body mass index (BMI) ≥ 30 kg/m2 who are candidates for metabolic bariatric surgery (MBS). The expert panel responsible for developing these guidelines comprised 25 panelists (92% were bariatric surgeons) and 3 evidence reviewers, with an average age of 50.1 ± 10.2 years. The panel focused on 3 key questions regarding the combined use of structured lifestyle interventions, approved obesity management medications, and endoscopic weight loss procedures with MBS.

Conclusions:

The complexity of obesity as a chronic disease requires a comprehensive knowledge of all the available and feasible therapeutic options. The IFSO-EC society felt the urgent need to develop methodologically valid guidelines to give a full picture and awareness of the possible surgical and non-surgical therapeutic strategies employed with a multimodal approach.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza