Fast-track rescue weight reduction therapy to achieve rapid technical operability for emergency bariatric surgery in patients with life-threatening inoperable severe obesity – A proof of concept study

Stier, Christine; Koschker, Ann-Cathrin; Kim, Mia; Stier, Raphael; Chiappetta, Sonja; Stein, Jürgen M.

doi:10.1016/j.clnesp.2022.05.009

Cited by 2 publications

(1 citation statement)

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“…Guidelines agreed that a period of identifiable medical management is necessary for all patients prior to BMS and that it is also necessary to assess patients’ motivation and willingness to adhere to follow-up programs, but pre-operative weight loss is neither mentioned in the indication for BMS nor in the pre-operative evaluation. Nevertheless, different studies exist in the current literature, which underlines the importance of pre-operative weight loss to achieve technical operability [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach

Zappa

Iossa²,

Busetto

et al. 2023

Eat Weight Disord

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Purpose Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V Report of expert committees.

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Section: Discussionmentioning

confidence: 99%