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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.
Ramos, Almino C; Chevallier, Jean-Marc; Mahawar, Kamal; Brown, Wendy; Kow, Lilian; White, Kevin P; Shikora, Scott.
Afiliação
  • Ramos AC; Gastro-Obeso-Center Institute of Metabolic Optimization, São Paulo, Brazil. ramos.almino@gmail.com.
  • Chevallier JM; Hopital Européen Georges Pompidou, Paris, France.
  • Mahawar K; Sunderland Royal Hospital, Sunderland, UK.
  • Brown W; Department of Surgery Alfred Health, Monash University, Melbourne, Australia.
  • Kow L; Adelaide Bariatric Centre, Flinders Private Hospital, Bedford Park, Adelaide, South Australia, Australia.
  • White KP; Science Right Research Consulting, London, Ontario, Canada.
  • Shikora S; Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Obes Surg ; 30(5): 1625-1634, 2020 May.
Article em En | MEDLINE | ID: mdl-32152841
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Doenças Metabólicas Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Doenças Metabólicas Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos