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Cited by 420Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

The DOI matches its Crossref record; 377 of the 377 references it cites were found in a registry or an index.

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland, S., Angrisani, L., Belachew, M., Chevallier, J. M., Favretti, F., Finer, N., Fingerhut, A., Garcia Caballero, M., Guisado Macias, J. A., Mittermair, R., Morino, M., Msika, S., Rubino, F., Tacchino, R., Weiner, R., Neugebauer, E. A. M.·2005·Surgical Endoscopy
DOI 10.1007/s00464-004-9194-1
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Abstract

Background The increasing prevalence of morbid obesity together with the development of laparoscopic approaches has led to a steep rise in the number of bariatric operations. These guidelines intend to define the comparative effectiveness and surrounding circumstances of the various types of obesity surgery.Methods A consensus panel representing the fields of general/endoscopic surgery, nutrition and epidemiology convened to agree on specific questions in obesity surgery. Databases were systematically searched for clinical trial results in order to produce evidence-based recommendations. Following two days of discussion by the experts and a plenary discussion, the final statements were issued.Recommendations After the patient's multidisciplinary evaluation, obesity surgery should be considered in adults with a documented BMI greater than or equal to 35 and related comorbidity, or a BMI of at least 40. In addition to standard laboratory testing, chest radiography, electrocardiography, spirometry, and abdominal ultrasonography, the preoperative evaluation of obesity surgery patients also includes upper gastrointestinal endoscopy or radiologic evaluation with a barium meal. Psychiatric consultation and polysomnography can safely be restricted to patients with clinical symptoms on preoperative screening. Adjustable gastric banding (GB), vertical banded gastroplasty (VBG), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion (BPD) are all effective in the treatment of morbid obesity, but differ in degree of weight loss and range of complications. The choice of procedure therefore should be tailored to the individual situation. There is evidence that a laparoscopic approach is advantageous for LAGB, VBG, and GB (and probably also for BPD). Antibiotic and antithromboembolic prophylaxis should be used routinely. Patients should be seen 3 to 8 times during the first postoperative year, 1 to 4 times during the second year and once or twice a year thereafter. Outcome assessment after surgery should include weight loss and maintainance, nutritional status, comorbidities and quality-of-life.

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Crossref · 10.1007/s00464-004-9194-1

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Citations

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1 retracted

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Metadata

Authors
Sauerland, S., Angrisani, L., Belachew, M., Chevallier, J. M., Favretti, F., Finer, N., Fingerhut, A., Garcia Caballero, M., Guisado Macias, J. A., Mittermair, R., Morino, M., Msika, S., Rubino, F., Tacchino, R., Weiner, R., & Neugebauer, E. A. M.
Affiliations
  • European Association for Endoscopic Surgery (NL)
  • Federico II University Hospital (IT)
  • Centre Hospitalier Régional de Huy (BE)
  • Hôpital Européen Georges-Pompidou (FR)
  • University of Padua (IT)
  • Addenbrooke's Hospital (GB)
  • Centre Hospitalier Intercommunal de Poissy (FR)
  • Innsbruck Medical University (AT)
  • University of Turin (IT)
  • Hôpital Louis-Mourier (FR)
  • Hôpitaux Universitaires de Strasbourg (FR)
  • Krankenhaus Sachsenhausen (DE)
  • University of Cologne (DE)
Corresponding author
Neugebauer, E. A. M.
ORCID
Venue
Surgical Endoscopy
Publisher
Springer Science and Business Media LLC
Published
2004-12-02
Volume
19
Issue
2
Pages
200-221
ISSN
  • 0930-2794 (ISSN-L)
  • 1432-2218
DOI
10.1007/s00464-004-9194-1
OpenAlex
W1977738151
Cited by
420
References
377
Citations by year
2026: 4 · 2025: 8 · 2024: 10 · 2023: 3 · 2022: 15 · 2021: 17 · 2020: 27 · 2019: 28 · 2018: 21 · 2017: 18 · 2016: 17 · 2015: 24 · 2014: 29 · 2013: 29 · 2012: 19
FWCI
14.53
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Surgical Endoscopy (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords
bariatric surgery, morbid obesity, laparoscopic adjustable gastric banding, vertical banded gastroplasty, Roux-en-Y gastric bypass, biliopancreatic diversion, preoperative assessment, postoperative follow-up, weight loss, weight maintenance, surgical complications, antibiotic prophylaxis, quality of life, comorbidities
MeSH terms
Adolescent, Adult, Clinical Competence, Europe, Female, Humans, Length of Stay, Male, Obesity, Morbid, Patient Care Team, Laparoscopy, Postoperative Care, Quality of Life, Gastric Bypass, Gastroplasty, Biliopancreatic Diversion, Body Mass Index, Endoscopy, Gastrointestinal, Treatment Outcome, Nutritional Support, Bariatric Surgery

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