EAES Rapid Guideline: Systematic review, network meta-analysis, CINeMA and GRADE assessment, and European consensus on bariatric surgery – Extension 2022

Published by Stavros A. Antoniou, MD PhD MPH FEBS FACS on Dec 9, 2021

Disclaimer

This clinical practice guideline has been developed under the auspice of the European Association for Endoscopic Surgery (EAES). It is intended to be used primarily by health professionals (e.g. surgeons, anaesthetists, physicians) and to assist in making informed clinical decisions on diagnostic measures and therapeutic management. It is also intended to inform individual practice of allied health professionals (e.g. surgical nurses, dieticians, physical rehabilitation therapists, psychologists); to inform strategic planning and resource management by health care authorities (e.g. regional and national authorities, health care institutions, hospital administration authorities); and to inform patients wishing to obtain an overview of the condition of interest and its management.
The use of recommendations contained herein must be informed by supporting evidence accompanying each recommendation and by research evidence that might not have been published by the time of writing the present document. Users must thus base their actions informed by newly published evidence at any given point in time.
The information in the guideline should not be relied upon as being complete or accurate, nor should it be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. With the rapid development of scientific knowledge, new evidence may emerge between the time the guideline is developed and when it is published or read. The guideline is not continually updated and may not reflect the most recent evidence. The guideline addresses only the topics specifically identified therein and is not applicable to other interventions, diseases, or stages of diseases. This guideline does not mandate any particular course of medical care. Further, the guideline is not intended to substitute the independent professional judgment of the treating provider, as the guideline does not necessarily account for individual variation among patients.
Even if evidence on a topic suggests a specific diagnostic and/or treatment action, users and especially health professionals may need to decide against the suggested or recommended action in view of circumstances related to patient values, preferences, co-morbidities and disease characteristics; available human, monetary and material resources; and healthcare infrastructures.
EAES provides this guideline on an “as is” basis, and makes no warranty, express or implied, regarding the guideline.

Sponsors

This project is funded and sponsored by the European Association for Endoscopic Surgery.

Contact

Abstract

This rapid guideline is an extension of the Clinical practice guidelines of the EAES on bariatric surgery: update 2020 endorsed by IFSO‑EC, EASO and ESPCOP, aiming to inform stakeholders about the most efficacious and safe bariatric procedure through multiple treatments comparison using network meta-analytical methods and an evidence-to-decision framework.

Language

en

PICOS

PICO 4.1

Population
Obese patients Obesity D009765,
Intervention
Sleeve gastrectomy Obesity D009765,
Comparator
Roux-en-Y gastric bypass Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.2

Population
Obese patients Obesity D009765,
Intervention
Sleeve gastrectomy Obesity D009765,
Comparator
Adjustable gastric band Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.3

Population
Obese patients Obesity D009765,
Intervention
Sleeve gastrectomy Obesity D009765,
Comparator
Gastric plication Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.4

Population
Obese patients Obesity D009765,
Intervention
Sleeve gastrectomy Obesity D009765,
Comparator
One anastomosis gastric bypass Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.5

Population
Obese patients Obesity D009765,
Intervention
Sleeve gastrectomy Obesity D009765,
Comparator
Single Anastomosis Duodeno-Ileal Switch Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.6

Population
Obese patients Obesity D009765,
Intervention
Roux-en-Y gastric bypass Obesity D009765,
Comparator
Adjustable gastric band Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.7

Population
Obese patients Obesity D009765,
Intervention
Roux-en-Y gastric bypass Obesity D009765,
Comparator
Gastric plication Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.8

Population
Obese patients Obesity D009765,
Intervention
Roux-en-Y gastric bypass Obesity D009765,
Comparator
One anastomosis gastric bypass Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.9

Population
Obese patients Obesity D009765,
Intervention
Roux-en-Y gastric bypass Obesity D009765,
Comparator
Single Anastomosis Duodeno-Ileal Switch Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.10

Population
Obese patients Obesity D009765,
Intervention
Adjustable gastric band Obesity D009765,
Comparator
Gastric plication Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.11

Population
Obese patients Obesity D009765,
Intervention
Adjustable gastric band Obesity D009765,
Comparator
One anastomosis gastric bypass Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.12

Population
Obese patients Obesity D009765,
Intervention
Adjustable gastric band Obesity D009765,
Comparator
Single Anastomosis Duodeno-Ileal Switch Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.13

Population
Obese patients Obesity D009765,
Intervention
Gastric plication Obesity D009765,
Comparator
One anastomosis gastric bypass Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.14

Population
Obese patients Obesity D009765,
Intervention
Gastric plication Obesity D009765,
Comparator
Single Anastomosis Duodeno-Ileal Switch Obesity D009765,
Outcomes
Obesity D009765,

PICO 4.15

Population
Obese patients Obesity D009765,
Intervention
One anastomosis gastric bypass Obesity D009765,
Comparator
Single Anastomosis Duodeno-Ileal Switch Obesity D009765,
Outcomes
Obesity D009765,