Affiliations 

  • 1 Royal Infirmary of Edinburgh, Edinburgh, UK
  • 2 Wesley Hospital, Brisbane, Australia
  • 3 Digestive Surgery Clinic, Kolkata, India
  • 4 MetaHeal, Laparoscopy and Bariatric Surgery Center, Mumbai, India
  • 5 Southampton General Hospital, Southampton, UK
  • 6 Ponderas Academic Hospital, Bucharest, Romania
  • 7 Leeds Beckett University, Leeds, UK
  • 8 Makassed General Hospital, Beirut, Lebanon
  • 9 OB Klinika, Prague, Czech Republic
  • 10 Mayo Clinic, Rochester, Minnesota, USA
  • 11 University of Sunderland, Sunderland, UK
  • 12 Wockhardt Hospital, Mumbai, India
  • 13 Royal Brisbane & Women's Hospital, Brisbane, Australia
  • 14 University of Arizona College of Medicine Phoenix, USA
  • 15 Hazrat-e Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  • 16 Prisma Health, Greenville, USA
  • 17 Flinders Medical Centre, Adelaide, Australia
  • 18 University of Brasilia-DF, Brazil
  • 19 University Hospitals of Derby and Burton NHS Foundation Trust
  • 20 Somerset NHS Foundation Trust, Somerset, UK
  • 21 University of Innsbruck, Austria
  • 22 Imperial College London, London, UK
  • 23 West Hertfordshire Teaching Hospitals NHS Trust, UK
  • 24 Orlando Health Weight Loss and Bariatric Surgery Institute, Florida, USA
  • 25 Brigham and Women's Hospital, Boston, USA
  • 26 Leeds Teaching Hospitals NHS Trust, Leeds, UK
  • 27 Whittington Hospital, London, UK
  • 28 St. Clara and University Hospital, Basel, Switzerland
  • 29 Clínica Anglo American, Lima, Peru
  • 30 University of Turku, Turku University Hospital, Turku, Finland
  • 31 Mid Yorkshire Teaching Trust, UK
  • 32 Jersey General Hospital, Jersey
  • 33 Massachusetts General Hospital Weight Center, Boston, USA
  • 34 Örebro University, Örebro, Sweden
  • 35 Riviera-Chablais Hospital, Rennaz, Switzerland
  • 36 Mediclinic Airport Road Hospital, Abu Dhabi, UAE
  • 37 University of Birmingham, Birmingham, UK
  • 38 Hospital Vall de Hebron, Barcelona, Spain
  • 39 Sunway Medical Centre, Penang, Malaysia
  • 40 ABC Medical Center, Mexico City, Mexico
  • 41 Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Clin Obes, 2024 Dec 14.
PMID: 39673462 DOI: 10.1111/cob.12722

Abstract

Global obesity rates have risen dramatically, now exceeding deaths from starvation. Metabolic and bariatric surgery (MBS), initially for severe obesity (BMI ≥35 kg/m2), is performed globally over 500 000 times annually, offering significant metabolic benefits beyond weight loss. However, varying eligibility criteria globally impact patient care and healthcare resources. Updated in 2022, ASMBS and IFSO guidelines aim to standardise MBS indications, reflecting current understanding and emphasising comprehensive preoperative assessments. Yet, clinical variability persists, necessitating consensus-based recommendations. This modified Delphi study engaged 45 global experts to establish consensus on perioperative management in MBS. Experts selected from bariatric societies possessed expertise in MBS and participated in a two-round Delphi protocol. Consensus was achieved on 90 of 169 statements (53.3%), encompassing multidisciplinary team composition, patient selection criteria, preoperative testing, and referral pathways. The agreement highlighted the critical role of comprehensive preoperative assessments and the integration of healthcare professionals in MBS. These findings offer essential insights to standardise perioperative practices and advocate for evidence-based guidelines in MBS globally. The study underscores the need for unified protocols to optimise outcomes and guide future research in MBS.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.