Development of the International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) Grade-Based Guidelines on the Surgical Treatment of Obesity Using Multimodal Strategies

Background : The prevalence of obesity is already a worldwide health concern. The development of straightforward guidelines regarding the whole available armamentarium (i.e., medical, endoscopic, and surgical interventions in conjunction with a guidance program) is paramount to offering the best mul...

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Autores: De Luca, Maurizio, Belluzzi, Amanda, Salminen, Paulina, Bueter, Marco, Pujol-Rafols, Juan, Sakran, Nasser|||0000-0002-6658-8981, Stier, Christine|||0000-0002-7508-7775, Taskin, Halit Eren, Chiappetta, Sonja|||0000-0002-1964-416X, Carrano, Francesco Maria|||0000-0003-1189-9907, Di Lorenzo, Nicola|||0000-0003-3370-4912, Nienhuijs, Simon|||0000-0002-0104-9477, Vilallonga, Ramon|||0000-0001-9333-2765, Stenberg, Erik, Emous, Marloes|||0000-0002-2223-3687, Prager, Gerhard, Himpens, Jacques, Felsenreich, Daniel Moritz|||0000-0002-5229-5096, Iannelli, Antonio, Parmar, Chetan|||0000-0002-1238-6524, Copaescu, Catalin|||0000-0002-7270-0706, Fried, Martin, Ruiz-Úcar, Elena|||0000-0002-4303-7714, Cohen, Ricardo V., Olmi, Stefano|||0000-0002-8307-3402, Angrisani, Luigi, Ribeiro, Rui|||0000-0003-4150-2325, Bandini, Giulia|||0000-0002-2076-7319, Scoccimarro, Daniele, Ragghianti, Benedetta, Monami, Matteo|||0000-0001-9349-828X
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:303158
Acceso en línea:https://ddd.uab.cat/record/303158
https://dx.doi.org/urn:doi:10.3390/jcm13175106
Access Level:acceso abierto
Palabra clave:Obesity
Metabolic bariatric surgery
Obesity-related medical conditions
Obesity management medications
Lifestyle interventions
Endoscopic weight loss procedures
Guidelines
Descripción
Sumario:Background : The prevalence of obesity is already a worldwide health concern. The development of straightforward guidelines regarding the whole available armamentarium (i.e., medical, endoscopic, and surgical interventions in conjunction with a guidance program) is paramount to offering the best multimodal approach to patients with obesity. Methods : The International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC) identified a panel of experts to develop the present guidelines. The panel formulated a series of clinical questions (based on the patient, intervention, comparison, and outcome conceptual framework), which have been voted on and approved. A GRADE methodology will be applied to assess the quality of evidence and formulate recommendations employed to minimize selection and information biases. This approach aims to enhance the reliability and validity of recommendations, promoting greater adherence to the best available evidence. Results : These guidelines are intended for adult patients with a body mass index (BMI) ≥ 30 kg/m 2 who are candidates for metabolic bariatric surgery (MBS). The expert panel responsible for developing these guidelines comprised 25 panelists (92% were bariatric surgeons) and 3 evidence reviewers, with an average age of 50.1 ± 10.2 years. The panel focused on 3 key questions regarding the combined use of structured lifestyle interventions, approved obesity management medications, and endoscopic weight loss procedures with MBS. Conclusions : The complexity of obesity as a chronic disease requires a comprehensive knowledge of all the available and feasible therapeutic options. The IFSO-EC society felt the urgent need to develop methodologically valid guidelines to give a full picture and awareness of the possible surgical and non-surgical therapeutic strategies employed with a multimodal approach.

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