Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

  • Nicola Di Lorenzo
  • , Stavros A. Antoniou
  • , Rachel L. Batterham
  • , Luca Busetto
  • , Daniela Godoroja
  • , Angelo Iossa
  • , Francesco M. Carrano
  • , Ferdinando Agresta
  • , Isaias Alarçon
  • , Carmil Azran
  • , Nicole Bouvy
  • , Carmen Balaguè Ponz
  • , Maura Buza
  • , Catalin Copaescu
  • , Maurizio De Luca
  • , Dror Dicker
  • , Angelo Di Vincenzo
  • , Daniel M. Felsenreich
  • , Nader K. Francis
  • , Martin Fried
  • Berta Gonzalo Prats, David Goitein, Jason C.G. Halford, Jitka Herlesova, Marina Kalogridaki, Hans Ket, Salvador Morales-Conde, Giacomo Piatto, Gerhard Prager, Suzanne Pruijssers, Andrea Pucci, Shlomi Rayman, Eugenia Romano, Sergi Sanchez-Cordero, Ramon Vilallonga, Gianfranco Silecchia

Research output: Contribution to journalArticlepeer-review

369 Scopus citations

Abstract

Background: Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience. EAES has sponsored an update of previous guidelines on bariatric surgery. Methods: A multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. Development and reporting conformed to GRADE guidelines and AGREE II standards. Results: Systematic review of databases, record selection, data extraction and synthesis, evidence appraisal and evidence-to-decision frameworks were developed for 42 key questions in the domains Indication; Preoperative work-up; Perioperative management; Non-bypass, bypass and one-anastomosis procedures; Revisional surgery; Postoperative care; and Investigational procedures. A total of 36 recommendations and position statements were formed through a modified Delphi procedure. Conclusion: This document summarizes the latest evidence on bariatric surgery through state-of-the art guideline development, aiming to facilitate evidence-based clinical decisions.

Original languageEnglish
Pages (from-to)2332-2358
Number of pages27
JournalSurgical Endoscopy
Volume34
Issue number6
DOIs
StatePublished - 1 Jun 2020
Externally publishedYes

Keywords

  • AGREE II
  • Bariatric surgery
  • EAES
  • GRADE
  • Guidelines
  • Obesity

ASJC Scopus subject areas

  • Surgery

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