Meta-Analysis: Surgical Treatment of Obesity

Maggard, Melinda A.; Shugarman, Lisa R.; Suttorp, Marika J; Maglione, Margaret; Sugerman, Harvey J.; Livingston, Edward H.; Nguyen, Ninh T.; Li, Zhaoping; Mojica, Walter; Hilton, Lara; Rhodes, Shannon; Morton, Sally C.; Shekelle, Paul G

doi:10.7326/0003-4819-142-7-200504050-00013

Cited by 1,362 publications

(892 citation statements)

References 166 publications

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“…On the contrary, the surgical complexity and potential surgical and long-term metabolic risks of procedures decrease in reverse order (EL A, B, C, D [17, ).…”

Section: Assigning a Patient To A Particular Bariatric Proceduresmentioning

confidence: 99%

“…Some of the evidence level data was also retrieved from the following publications: Commonwealth of Massachusetts Betsy Lehman Center for Patient Safety and Medical Error Reduction Expert Panel on Weight Loss Surgery [15] , Obesity Surgery Evidence-Based Guidelines of the European Association for Endoscopic Surgery (EAES) [16] , Maggard et al's Meta-Analysis: Surgical Treatment of Obesity [17] and Laville et al 's Recommendations Regarding Obesity Surgery [18] , and the Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient -2013 Update by Mechanick et al [19] .…”

Section: Introductionmentioning

confidence: 99%

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Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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“…On the contrary, the surgical complexity and potential surgical and long-term metabolic risks of procedures decrease in reverse order (EL A, B, C, D [17, ).…”

Section: Assigning a Patient To A Particular Bariatric Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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“…A metanalysis involving 136 studies and 22,094 patients made by Buchwald et al (6) revealed an overall resolution of hypertension of 75.4%. In a review of 19 studies carried out by Maggard et al (19) resolution rates varying from 25% to 75% were observed. According to most studies, hypertension control appears to be so linked to improvement on insulin sensitivity and proinflammatory state as to proper weight loss (11,15,16,27) .…”

Section: Discussionmentioning

confidence: 99%

Control of Hypertension After Roux-en-Y Gastric Bypass Among Obese Diabetic Patients

Cazzo

Gestic

Machado

et al. 2014

Arq. Gastroenterol.

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-Context -Hypertension is a common disorder in general practice and has a widely known association with type 2 diabetes mellitus. Low adhesion to clinical treatment may lead to poor results. Obesity surgery can bring early and relevant resolution rates of both morbidities. Objective -To describe hypertension evolution after Roux-en-Y gastric bypass in patients with type 2 diabetes mellitus. Method -Descriptive observational study designed as a historical cohort of 90 subjects with hypertension and diabetes who underwent Roux-en-Y gastric bypass and were evaluated before and after surgery. Results -It was observed a hypertension resolution rate of 85.6% along with markedly decrease in anti-hypertensive usage. Mean resolution time was 3.2 months. Resolution was associated with homeostasis model assessment -insulin resistance, preoperative fasting insulin, anti-hypertensive usage, hypertension time, body mass index and percentage of weight loss. Resolution of hypertension was not statistically associated with diabetes remission within this sample. Conclusion -Roux-en-Y gastric bypass was a safe and effective therapeutic tool to achieve hypertension resolution in patients who also had diabetes mellitus.

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“…Some of the evidence level data was also retrieved from the following publications: Commonwealth of Massachusetts Betsy Lehman Center for Patient Safety and Medical Error Reduction Expert Panel on Weight Loss Surgery', 15 Obesity surgery evidence-based guidelines of the European Association for Endoscopic Surgery (EAES), 16 Maggard et al's meta-analysis: surgical treatment of obesity 17 and Recommendations Regarding Obesity Surgery. 18 The panel's recommendations are supported by the best available evidence, which includes all evidence levels (randomized controlled trials (RCTs), systematic reviews of cohort studies, observational outcomes studies and expert opinion).…”

Section: Introductionmentioning

confidence: 99%

Inter-disciplinary European guidelines on surgery of severe obesity

et al. 2007

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In 2005, for the first time in European history, an extraordinary Expert panel named 'The BSCG' (Bariatric Scientific Collaborative Group), was appointed through joint effort of the major European Scientific Societies which are active in the field of obesity management. Societies that constituted this panel were: IFSO -International Federation for the Surgery of Obesity, IFSO-ECInternational Federation for the Surgery of Obesity -European Chapter, EASO -European Association for Study of Obesity, ECOG -European Childhood Obesity Group, together with the IOTF (International Obesity Task Force) which was represented during the completion process by its representative. The BSCG was composed not only of the top officers representing the respective Scientific Societies (four acting presidents, two past presidents, one honorary president, two executive directors), but was balanced with the presence of many other key opinion leaders in the field of obesity. The BSCG composition allowed the coverage of key disciplines in comprehensive obesity management, as well as reflecting European geographical and ethnic diversity. This joint BSCG expert panel convened several meetings which were entirely focused on guidelines creation, during the past two years. There was a specific effort to develop clinical guidelines, which will reflect current knowledge, expertize and evidence based data on morbid obesity treatment.

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Meta-Analysis: Surgical Treatment of Obesity

Cited by 1,362 publications

References 166 publications

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Control of Hypertension After Roux-en-Y Gastric Bypass Among Obese Diabetic Patients

Inter-disciplinary European guidelines on surgery of severe obesity

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