Skip to main content
main-content

12.01.2021

The first modified Delphi consensus statement on sleeve gastrectomy

Zeitschrift:
Surgical Endoscopy
Autoren:
Kamal K. Mahawar, Islam Omar, Rishi Singhal, Sandeep Aggarwal, Mustafa Ismail Allouch, Salman K. Alsabah, Luigi Angrisani, Faruq Mohamed Badiuddin, Jose María Balibrea, Ahmad Bashir, Estuardo Behrens, Kiron Bhatia, Laurent Biertho, L. Ulas Biter, Jerome Dargent, Maurizio De Luca, Eric DeMaria, Mohamed Hayssam Elfawal, Martin Fried, Khaled A. Gawdat, Yitka Graham, Miguel F. Herrera, Jacques M. Himpens, Farah A. Hussain, Kazunori Kasama, David Kerrigan, Lilian Kow, Jon Kristinsson, Marina Kurian, Ronald Liem, Rami Edward Lutfi, Vinod Menon, Karl Miller, Patrick Noel, Oral Ospanov, Mahir M. Ozmen, Ralph Peterli, Jaime Ponce, Gerhard Prager, Arun Prasad, P. Praveen Raj, Nelson R. Rodriguez, Raul Rosenthal, Nasser Sakran, Jorge Nunes Santos, Asim Shabbir, Scott A. Shikora, Peter K. Small, Craig J. Taylor, Cunchuan Wang, Rudolf Alfred Weiner, Mariusz Wylezol, Wah Yang, Ali Aminian
Wichtige Hinweise

Supplementary information

The online version of this article (https://​doi.​org/​10.​1007/​s00464-020-08216-w) contains supplementary material, which is available to authorized users.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Introduction

Sleeve gastrectomy (SG) is the commonest bariatric procedure worldwide. Yet there is significant variation in practice concerning its various aspects. This paper report results from the first modified Delphi consensus-building exercise on SG.

Methods

We established a committee of 54 globally recognized opinion makers in this field. The committee agreed to vote on several statements concerning SG. An agreement or disagreement amongst ≥ 70.0% experts was construed as a consensus.

Results

The committee achieved a consensus of agreement (n = 71) or disagreement (n = 7) for 78 out of 97 proposed statements after two rounds of voting. The committee agreed with 96.3% consensus that the characterization of SG as a purely restrictive procedure was inaccurate and there was 88.7% consensus that SG was not a suitable standalone, primary, surgical weight loss option for patients with Barrett’s esophagus (BE) without dysplasia. There was an overwhelming consensus of 92.5% that the sleeve should be fashioned over an orogastric tube of 36–40 Fr and a 90.7% consensus that surgeons should stay at least 1 cm away from the angle of His. Remarkably, the committee agreed with 81.1% consensus that SG patients should undergo a screening endoscopy every 5 years after surgery to screen for BE.

Conclusion

A multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Weitere Produktempfehlungen anzeigen
Zusatzmaterial
Nur für berechtigte Nutzer zugänglich
Literatur
Über diesen Artikel
  1. Sie können e.Med Chirurgie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Neu im Fachgebiet Chirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise