Sistema de Salut de Catalunya
Institut Català de la Salut
[De Luca M, Belluzzi A] Department of General, Emergency and Metabolic Surgery, Rovigo Hospital, Rovigo, Italy. [Salminen P] Department of Surgery, University of Turku, Turku, Finland. [Bueter M] Department of Surgery and Transplantation, University Hospital Zurich, University of Zurich, Zurich, Switzerland. [Pujol-Rafols J] HM Delfos, Barcelona, Spain. [Sakran N] Department of General Surgery, Holy Family Hospital, Nazareth, Israel. The Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel. [Vilallonga Puy R] Unitat de Cirurgia Endocrina, Metabòlica i Bariàtrica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
2024-10-18T07:00:36Z
2024-10-18T07:00:36Z
2024-08-28
Pautas; Cirugía bariátrica metabólica; Obesidad
Guidelines; Metabolic bariatric surgery; Obesity
Directrius; Cirurgia bariàtrica metabòlica; Obesitat
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.
Article
Published version
English
Decisió de grup; Obesitat - Cirurgia; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Bariatric Surgery; DISEASES::Nutritional and Metabolic Diseases::Nutrition Disorders::Overnutrition::Obesity; Other subheadings::Other subheadings::Other subheadings::/surgery; PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::cirugía bariátrica; ENFERMEDADES::enfermedades nutricionales y metabólicas::trastornos nutricionales::hipernutrición::obesidad; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía; PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso
MDPI
Journal of Clinical Medicine;13(17)
https://doi.org/10.3390/jcm13175106
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
Articles científics - HVH [3440]
