Cited by 395Bariatric Surgery and OutcomesEnhanced Recovery After SurgeryClinical Nutrition and Gastroenterology

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

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Mechanick, Jeffrey I., Youdim, Adrienne., Jones, Daniel B., Garvey, W. Timothy, Hurley, Daniel L., McMahon, M. Molly, Heinberg, Leslie J., Kushner, Robert. +4 more·2013·Endocrine Practice

Abstract

The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE-TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

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  1. [48]Flum DR Belle SH King WC Perioperative safety in the longitudinal assessment of bariatric surgery N Engl J Med 2009 361 445 454 EL 2, PCS (large prospective cohort) 19641201 PMC2854565
  2. [118]Lee WJ Chong K Ser KH Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial Arch Surg 2011 146 143 148 EL 1, RCT 21339423
  3. [122]Hutter MM Schirmer BD Jones DB First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass Ann Surg 2011 254 410 420 discussion 20–2. EL 3, SS 21865942 PMC3339264
  4. [180]Flum DR Belle SH King WC Perioperative safety in the longitudinal assessment of bariatric surgery N Engl J Med 2009 361 445 454 EL 2, PCS 19641201 PMC2854565
  5. [298]Gupta PK Gupta H Kaushik M Predictors of pulmonary complications after bariatric surgery Surg Obes Relat Dis 2012 8 574 581 EL 3, SS 21719358
  6. [303]Winegar DA Sherif B Pate V Venous thromboembolism after bariatric surgery performed by Bariatric Surgery Center of Excellence Participants: analysis of the Bariatric Outcomes Longitudinal Database Surg Obes Relat Dis 2011 7 181 188 EL 3, SS 21421182
  7. [304]Birkmeyer NJ Share D Baser O Preoperative placement of inferior vena cava filters and outcomes after gastric bypass surgery Ann Surg 2010 252 313 318 EL 3, SS 20622663
  8. [306]Bellanger DE Greenway FL Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations Obes Surg 2011 21 146 150 EL 3, SS 21132397
  9. [322]Kofman MD Lent MR Swencionis C Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: results of an internet survey Obesity 2010 18 1938 43 EL 3, SS 20168309
  10. [329]Ziegler O Sirveaux MA Brunaud L Medical followup after bariatric surgery: nutritional and drug issues Diab Metab 2009 35 544 557 EL 4, NE review 20152742
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Authors
Mechanick, J. I., Youdim, A., Jones, D. B., Garvey, W. T., Hurley, D. L., McMahon, M. M., Heinberg, L. J., Kushner, R., Adams, T. D., Shikora, S., Dixon, J. B., & Brethauer, S.
Affiliations
  • Icahn School of Medicine at Mount Sinai (US)
  • Cedars-Sinai Medical Center (US)
  • Beth Israel Deaconess Medical Center (US)
  • University of Alabama at Birmingham (US)
  • Mayo Clinic (US)
  • Cleveland Clinic Lerner College of Medicine (US)
  • Northwestern University (US)
  • Intermountain Healthcare (US)
  • Brigham and Women's Hospital (US)
  • Baker Heart and Diabetes Institute (AU)
  • Cleveland Clinic (US)
Corresponding author
Mechanick, Jeffrey I.
Venue
Endocrine Practice
Publisher
Elsevier BV
Published
2013-03
Volume
19
Issue
2
Pages
337-372
ISSN
1530-891X (ISSN-L)
OpenAlex
W2000732656
Cited by
395
References
397
Citations by year
2026: 12 · 2025: 20 · 2024: 15 · 2023: 10 · 2022: 18 · 2021: 28 · 2020: 37 · 2019: 48 · 2018: 35 · 2017: 37 · 2016: 52 · 2015: 40 · 2014: 31 · 2013: 12
FWCI
44.40
Type
journal article
Language
en
Open access
Locations
  • Endocrine Practice (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Veterans Affairs (I01CX000432)
  • National Institute of Diabetes and Digestive and Kidney Diseases (P30DK079626)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords
bariatric surgery, perioperative care, nutritional support, metabolic support, sleeve gastrectomy, type 2 diabetes, mild obesity, copper deficiency, informed consent, behavioral problems, obesity
MeSH terms
Adult, Combined Modality Therapy, Humans, Obesity, Morbid, Postoperative Complications, Evidence-Based Medicine, Perioperative Care, Bariatric Surgery, Bariatric Medicine, Checklist, Precision Medicine

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