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: Design and Methodological Aspects

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 mult...

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Main Authors: De Luca, Maurizio (Author) , Belluzzi, Amanda (Author) , Salminen, Paulina (Author) , Bueter, Marco (Author) , Pujol-Rafols, Juan (Author) , Sakran, Nasser (Author) , Stier, Christine (Author) , Taskin, Halit Eren (Author) , Chiappetta, Sonja (Author) , Carrano, Francesco Maria (Author) , Di Lorenzo, Nicola (Author) , Nienhuijs, Simon (Author) , Puy, Ramón Vilallonga (Author) , Stenberg, Erik (Author) , Emous, Marloes (Author) , Prager, Gerhard (Author) , Himpens, Jacques (Author) , Felsenreich, Daniel Moritz (Author) , Iannelli, Antonio (Author) , Parmar, Chetan (Author) , Copaescu, Catalin (Author) , Fried, Martin (Author) , Ruiz-Úcar, Elena (Author) , Cohen, Ricardo V. (Author) , Olmi, Stefano (Author) , Angrisani, Luigi (Author) , Ribeiro, Rui (Author) , Bandini, Giulia (Author) , Scoccimarro, Daniele (Author) , Ragghianti, Benedetta (Author) , Monami, Matteo (Author)
Format: Article (Journal)
Language:English
Published: 28 August 2024
In: Journal of Clinical Medicine
Year: 2024, Volume: 13, Issue: 17, Pages: 1-11
ISSN:2077-0383
DOI:10.3390/jcm13175106
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/jcm13175106
Verlag, kostenfrei, Volltext: https://www.mdpi.com/2077-0383/13/17/5106
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Author Notes:Maurizio De Luca, Amanda Belluzzi, Paulina Salminen, Marco Bueter, Juan Pujol-Rafols, Nasser Sakran, Christine Stier, Halit Eren Taskin, Sonja Chiappetta, Francesco Maria Carrano, Nicola Di Lorenzo, Simon Nienhuijs, Ramón Vilallonga Puy, Erik Stenberg, Marloes Emous, Gerhard Prager, Jacques Himpens, Daniel Moritz Felsenreich, Antonio Iannelli, Chetan Parmar, Catalin Copaescu, Martin Fried, Elena Ruiz-Úcar, Ricardo V. Cohen, Stefano Olmi, Luigi Angrisani, Rui Ribeiro, Giulia Bandini, Daniele Scoccimarro, Benedetta Ragghianti and Matteo Monami on behalf of the Panel for the IFSO-EC on the Surgical Treatment of Obesity Using Multimodal Strategies

MARC

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520 |a 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/m2 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. 
650 4 |a endoscopic weight loss procedures 
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650 4 |a obesity 
650 4 |a obesity management medications 
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