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Metabolic and Bariatric Surgery in Patients with Obesity Class V (BMI > 60 kg/m2): a Modified Delphi Study

2024Journal article Open access
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dc.contributor.authorPonce de Leon-Ballesteros, G
dc.contributor.authorPouwels, S
dc.contributor.authorRomero-Velez, G
dc.contributor.authorAminian, A
dc.contributor.authorAngrisani, L
dc.contributor.authorBhandari, M
dc.contributor.authorBrown, W
dc.contributor.authorCopaescu, C
dc.contributor.authorDe Luca, M
dc.contributor.authorFobi, M
dc.contributor.authorGhanem, OM
dc.contributor.authorHasenberg, T
dc.contributor.authorHerrera, MF
dc.contributor.authorHerrera-Kok, JH
dc.contributor.authorHimpens, J
dc.contributor.authorKow, L
dc.contributor.authorKroh, M
dc.contributor.authorKurian, M
dc.contributor.authorMusella, M
dc.contributor.authorNarwaria, M
dc.contributor.authorNoel, P
dc.contributor.authorPantoja, JP
dc.contributor.authorPonce, J
dc.contributor.authorPrager, G
dc.contributor.authorRamos, A
dc.contributor.authorRibeiro, R
dc.contributor.authorRuiz-Ucar, E
dc.contributor.authorSalminen, P
dc.contributor.authorShikora, S
dc.contributor.authorSmall, P
dc.contributor.authorStier, C
dc.contributor.authorTaha, S
dc.contributor.authorTaskin, EH
dc.contributor.authorTorres, A
dc.contributor.authorVaz, C
dc.contributor.authorVilallonga, R
dc.contributor.authorVerboonen, S
dc.contributor.authorZerrweck, C
dc.contributor.authorZundel, N
dc.contributor.authorParmar, C
dc.date.accessioned2024-02-05T21:22:20Z
dc.date.available2024-02-05T21:22:20Z
dc.date.issued2024
dc.description.abstractBackground: Metabolic and bariatric surgery (MBS) is the preferred method to achieve significant weight loss in patients with Obesity Class V (BMI > 60 kg/m2). However, there is no consensus regarding the best procedure(s) for this population. Additionally, these patients will likely have a higher risk of complications and mortality. The aim of this study was to achieve a consensus among a global panel of expert bariatric surgeons using a modified Delphi methodology. Methods: A total of 36 recognized opinion-makers and highly experienced metabolic and bariatric surgeons participated in the present Delphi consensus. 81 statements on preoperative management, selection of the procedure, perioperative management, weight loss parameters, follow-up, and metabolic outcomes were voted on in two rounds. A consensus was considered reached when an agreement of ≥ 70% of experts' votes was achieved. Results: A total of 54 out of 81 statements reached consensus. Remarkably, more than 90% of the experts agreed that patients should be notified of the greater risk of complications, the possibility of modifications to the surgical procedure, and the early start of chemical thromboprophylaxis. Regarding the choice of the procedure, SADI-S, RYGB, and OAGB were the top 3 preferred operations. However, no consensus was reached on the limb length in these operations. Conclusion: This study represents the first attempt to reach consensus on the choice of procedures as well as perioperative management in patients with obesity class V. Although overall consensus was reached in different areas, more research is needed to better serve this high-risk population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Surg . 2024 Jan 19. doi: 10.1007/s11695-023-06990-9.pt_PT
dc.identifier.doi10.1007/s11695-023-06990-9pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/49621
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCirurgia Bariátricapt_PT
dc.subjectObesidade Mórbida/cirurgiapt_PT
dc.subjectBariatric Surgerypt_PT
dc.subjectObesity, Morbid/surgerypt_PT
dc.titleMetabolic and Bariatric Surgery in Patients with Obesity Class V (BMI > 60 kg/m2): a Modified Delphi Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleObesity Surgerypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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