Plenty of innovations were added to the armamentarium of healthcare professionals for the operative and perioperative management of bariatric patients. “Historical” techniques developed by the pioneers of bariatric surgery were virtually abandoned (e.g. A lot has changed in the field since then. It has been 14 years since EAES has launched the 2004 guidelines on obesity surgery. This document summarizes the latest evidence on bariatric surgery through state-of-the art guideline development, aiming to facilitate evidence-based clinical decisions. A total of 36 recommendations and position statements were formed through a modified Delphi procedure. 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. Development and reporting conformed to GRADE guidelines and AGREE II standards. MethodsĪ multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. EAES has sponsored an update of previous guidelines on bariatric surgery. Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience.
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