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(University of Rome Tor Vergata), Stavros A. Antoniou(European University Cyprus), Rachel L. Batterham(National Institute for Health and Care Research), Luca Busetto(University of Padua), Daniela Godoroja, Angelo Iossa(Sapienza University of Rome), Francesco Maria Carrano(University of Insubria), Ferdinando Agresta, Isaías Alarcón(Hospital Universitario Virgen del Rocío), Carmil Azran(Herzliya Medical Center), Nicole D. Bouvy(Maastricht University Medical Centre), Carmen Balagué Ponz(Hospital de Sant Pau), Maura Buza, Cătălin Copăescu, Maurizio De Luca(Ospedale Castelfranco Veneto), Dror Dicker(Tel Aviv University), Angelo Di Vincenzo(University of Padua), Daniel Moritz Felsenreich(Medical University of Vienna), Nader Francis(Yeovil District Hospital NHS Foundation Trust), Martin Fried, B Gonzalo Prats(Hospital de Sant Pau), David Goitein(Tel Aviv University), Jason C. G. Halford(University of Liverpool), Jitka Herlesová, Marina Kalogridaki(KAT General Hospital of Attica), Hans Ket(Vrije Universiteit Amsterdam), Salvador Morales‐Conde(Hospital Universitario Virgen del Rocío), Giacomo Piatto(Ospedale Castelfranco Veneto), Gerhard Prager(Medical University of Vienna), Suzanne Pruijssers(Maastricht University Medical Centre), Andrea Pucci(National Institute for Health and Care Research), Shlomi Rayman(Tel Aviv University), Eugenia Romano(University of Liverpool), Sergi Sánchez-Cordero(Consorci Sanitari Garraf), Ramón Vilallonga(Universitat Autònoma de Barcelona), Gianfranço Silecchia(Sapienza University of Rome)
Surgical Endoscopy
April 23, 2020
10.1007/s00464-020-07555-y
Cited by 456Open Access
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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.

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