Repository logo
 
Publication

Patient Selection in One Anastomosis/Mini Gastric Bypass—an Expert Modified Delphi Consensus

2022Journal article Open access
Simple item page
dc.contributor.authorKermansaravi, M
dc.contributor.authorParmar, C
dc.contributor.authorChiappetta, S
dc.contributor.authorShahabi, S
dc.contributor.authorAbbass, A
dc.contributor.authorAbbas, SI
dc.contributor.authorAbouzeid, M
dc.contributor.authorAntozzi, L
dc.contributor.authorAsghar, ST
dc.contributor.authorBashir, A
dc.contributor.authorBhandari, M
dc.contributor.authorBilly, H
dc.contributor.authorCaina, D
dc.contributor.authorCampos, FJ
dc.contributor.authorCarbajo, MA
dc.contributor.authorChevallier, JM
dc.contributor.authorJazi, AH
dc.contributor.authorde Gordejuela, AG
dc.contributor.authorHaddad, A
dc.contributor.authorElFawal, MH
dc.contributor.authorHimpens, J
dc.contributor.authorInam, A
dc.contributor.authorKassir, R
dc.contributor.authorKasama, K
dc.contributor.authorKhan, A
dc.contributor.authorKow, L
dc.contributor.authorKular, KS
dc.contributor.authorLakdawala, M
dc.contributor.authorLayani, LA
dc.contributor.authorLee, WJ
dc.contributor.authorLuque-de-León, E
dc.contributor.authorLoi, K
dc.contributor.authorMahawar, K
dc.contributor.authorMahdy, T
dc.contributor.authorMusella, M
dc.contributor.authorNimeri, A
dc.contributor.authorGonzález, JC
dc.contributor.authorPazouki, A
dc.contributor.authorPoghosyan, T
dc.contributor.authorPrager, G
dc.contributor.authorPrasad, A
dc.contributor.authorRamos, AC
dc.contributor.authorRheinwalt, K
dc.contributor.authorRibeiro, R
dc.contributor.authorRuiz-Úcar, E
dc.contributor.authorRutledge, R
dc.contributor.authorShabbir, A
dc.contributor.authorShikora, S
dc.contributor.authorSinghal, R
dc.contributor.authorTaha, O
dc.contributor.authorTalebpour, M
dc.contributor.authorVerboonen, JS
dc.contributor.authorWang, C
dc.contributor.authorWeiner, R
dc.contributor.authorYang, W
dc.contributor.authorVilallonga, R
dc.contributor.authorDe Luca, M
dc.date.accessioned2022-08-16T21:06:34Z
dc.date.available2022-08-16T21:06:34Z
dc.date.issued2022
dc.description.abstractPurpose: One anastomosis/mini gastric bypass (OAGB/MGB) is up to date the third most performed obesity and metabolic procedure worldwide, which recently has been endorsed by ASMBS. The main criticisms are the risk of bile reflux, esophageal cancer, and malnutrition. Although IFSO has recognized this procedure, guidance is needed regarding selection criteria. To give clinicians a daily support in performing the right patient selection in OAGB/MGB, the aim of this paper is to generate clinical guidelines based on an expert modified Delphi consensus. Methods: A committee of 57 recognized bariatric surgeons from 24 countries created 69 statements. Modified Delphi consensus voting was performed in two rounds. An agreement/disagreement among ≥ 70.0% of the experts was considered to indicate a consensus. Results: Consensus was achieved for 56 statements. Remarkably, ≥ 90.0% of the experts felt that OAGB/MGB is an acceptable and suitable option "in patients with Body mass index (BMI) > 70, BMI > 60, BMI > 50 kg/m2 as a one-stage procedure," "as the second stage of a two-stage bariatric surgery after Sleeve Gastrectomy for BMI > 50 kg/m2 (instead of BPD/DS)," and "in patients with weight regain after restrictive procedures. No consensus was reached on the statement that OAGB/MGB is a suitable option in case of resistant Helicobacter pylori. This is likely as there is a concern that this procedure is associated with reflux and its related long-term complications including risk of cancer in the esophagus or stomach. Also no consensus reached on OAGB/MGB as conversional surgery in patients with GERD after restrictive procedures. Consensus for disagreement was predominantly achieved "in case of intestinal metaplasia of the stomach" (74.55%), "in patients with severe Gastro Esophageal Reflux Disease (GERD)(C,D)" (75.44%), "in patients with Barrett's metaplasia" (89.29%), and "in documented insulinoma" (89.47%). Conclusion: Patient selection in OAGB/MGB is still a point of discussion among experts. There was consensus that OAGB/MGB is a suitable option in elderly patients, patients with low BMI (30-35 kg/m2) with associated metabolic problems, and patients with BMIs more than 50 kg/m2 as one-stage procedure. OAGB/MGB can also be a safe procedure in vegetarian and vegan patients. Although OAGB/MGB can be a suitable procedure in patients with large hiatal hernia with concurrent hiatal hernia, it should not be offered to patients with grade C or D esophagitis or Barrett's metaplasia.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Surg . 2022 Aug;32(8):2512-2524pt_PT
dc.identifier.doi10.1007/s11695-022-06124-7pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/41601
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCirurgia Bariátricapt_PT
dc.subjectObesidadept_PT
dc.subjectBariatric Surgerypt_PT
dc.subjectObesitypt_PT
dc.titlePatient Selection in One Anastomosis/Mini Gastric Bypass—an Expert Modified Delphi Consensuspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2524pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage2512pt_PT
oaire.citation.titleObesity Surgerypt_PT
oaire.citation.volume32pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Patient Selection in One Anastomosis:Mini Gastric Bypass.pdf
Size:
3.13 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.85 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

LS - LHAmadora - Artigos