An international Delphi consensus on patient preparation for metabolic and bariatric surgery

作者：Danielle Clyde, Reza Adib, Sarfaraz Jalil Baig, Aparna Govil Bhasker, James Patrick Byrne, David Cameron, Copaescu Catalain, Ken Clare, Andrew de Beaux, Gillian Drummond, Hayssam Fawal, Martin Fried, Omar M. Ghanem, Yitka N. H. Graham, Ramen Goel, George Hopkins, Farah Anwari Husain, Brian Thomas Joyce, Mohammad Kermansaravi, Shanu N. Kothari, Lilian Kow, Sílvia Leite Faria, Brij Madhok, David Mahon, Karl Anton Miller, Alexander Dimitri Miras, Osama Moussa, Manoel Galvão Neto, Abdelrahman Ali Nimeri, Mary P. M. O’Kane, Chetan D. Parmar, Ralph Peterli, Luis Poggi, Paulina Saliminen, Rupa Sarkar, Jon Shenfine, Stephanie Sogg, Erik Stenberg, Michel Suter, Safwan A. Taha, Abd A. Tahrani, Ramón Vilallonga, Kelvin Voon, RICHARD B. WELBOURN, Carlos Zerrweck, Peter Lamb, Kamal Kumar Mahawar, Wah Yang, Andrew G. Robertson · 发表于：Clinical Obesity · 年份：2024 · DOI：10.1111/cob.12722 · 被引用次数：7 · 研究领域：Bariatric Surgery and Outcomes、Body Contouring and Surgery、Cardiac, Anesthesia and Surgical Outcomes

), 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.