Sleeve gastrectomy (SG) is the commonest bariatric procedure worldwide. Yet there is significant variation in practice concerning its various aspects. This paper report results from the first modified Delphi consensus-building exercise on SG.
We established a committee of 54 globally recognized opinion makers in this field. The committee agreed to vote on several statements concerning SG. An agreement or disagreement amongst ≥ 70.0% experts was construed as a consensus.
The committee achieved a consensus of agreement (n = 71) or disagreement (n = 7) for 78 out of 97 proposed statements after two rounds of voting. The committee agreed with 96.3% consensus that the characterization of SG as a purely restrictive procedure was inaccurate and there was 88.7% consensus that SG was not a suitable standalone, primary, surgical weight loss option for patients with Barrett’s esophagus (BE) without dysplasia. There was an overwhelming consensus of 92.5% that the sleeve should be fashioned over an orogastric tube of 36-40 Fr and a 90.7% consensus that surgeons should stay at least 1 cm away from the angle of His. Remarkably, the committee agreed with 81.1% consensus that SG patients should undergo a screening endoscopy every 5 years after surgery to screen for BE.
A multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic.
About The Expert
Kamal K Mahawar
Islam Omar
Rishi Singhal
Sandeep Aggarwal
Mustafa Ismail Allouch
Salman K Alsabah
Luigi Angrisani
Faruq Mohamed Badiuddin
Jose María Balibrea
Ahmad Bashir
Estuardo Behrens
Kiron Bhatia
Laurent Biertho
L Ulas Biter
Jerome Dargent
Maurizio De Luca
Eric DeMaria
Mohamed Hayssam Elfawal
Martin Fried
Khaled A Gawdat
Yitka Graham
Miguel F Herrera
Jacques M Himpens
Farah A Hussain
Kazunori Kasama
David Kerrigan
Lilian Kow
Jon Kristinsson
Marina Kurian
Ronald Liem
Rami Edward Lutfi
Vinod Menon
Karl Miller
Patrick Noel
Oral Ospanov
Mahir M Ozmen
Ralph Peterli
Jaime Ponce
Gerhard Prager
Arun Prasad
P Praveen Raj
Nelson R Rodriguez
Raul Rosenthal
Nasser Sakran
Jorge Nunes Santos
Asim Shabbir
Scott A Shikora
Peter K Small
Craig J Taylor
Cunchuan Wang
Rudolf Alfred Weiner
Mariusz Wylezol
Wah Yang
Ali Aminian
References
PubMed