Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Standardization of the key measurements of a procedure’s finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods: A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure’s key anatomic alterations. Consensus was defined as ≥ 70% agreement. Results: The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22–24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters’ slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions: Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.

Original languageEnglish (US)
Pages (from-to)309-345
Number of pages37
JournalObesity Surgery
Volume29
DOIs
StatePublished - Jul 15 2019

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Bariatrics
Bariatric Surgery
Politics
India
Outcome Assessment (Health Care)

Keywords

  • Anatomic
  • Bariatric surgery
  • Gastric bypass
  • Metabolic surgery
  • Sleeve gastrectomy
  • Standardization
  • Surgical technique
  • Type 2 diabetes

Cite this

and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group: (2019). Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement. Obesity Surgery, 29, 309-345. https://doi.org/10.1007/s11695-019-04032-x

Standardization of Bariatric Metabolic Procedures : World Consensus Meeting Statement. / and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:.

In: Obesity Surgery, Vol. 29, 15.07.2019, p. 309-345.

Research output: Contribution to journalArticle

and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group: 2019, 'Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement', Obesity Surgery, vol. 29, pp. 309-345. https://doi.org/10.1007/s11695-019-04032-x
and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:. Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement. Obesity Surgery. 2019 Jul 15;29:309-345. https://doi.org/10.1007/s11695-019-04032-x
and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:. / Standardization of Bariatric Metabolic Procedures : World Consensus Meeting Statement. In: Obesity Surgery. 2019 ; Vol. 29. pp. 309-345.
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abstract = "Background: Standardization of the key measurements of a procedure’s finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods: A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure’s key anatomic alterations. Consensus was defined as ≥ 70{\%} agreement. Results: The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22–24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0{\%}) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50{\%} of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters’ slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions: Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.",
keywords = "Anatomic, Bariatric surgery, Gastric bypass, Metabolic surgery, Sleeve gastrectomy, Standardization, Surgical technique, Type 2 diabetes",
author = "{and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:} and Mohit Bhandari and Fobi, {M. A.L.} and Buchwald, {Jane N.} and Alaa Abbass and {Abu Dayyeh}, {Barham K.} and Munir Alamo and Mohammed Al-Jarallah and Luigi Angrisani and Behrens, {Estuardo J.} and Bhasker, {Aparna G.} and Camilo Boza and Henry Buchwald and Chevallier, {Jean Marc} and Pradeep Chowbey and Cummings, {David E.} and Jerome Dargent and {De Luca}, Maurizio and DeMaria, {Eric J.} and Aureo DePaula and John Dixon and Karin Dolezalova and Martin Fried and Michel Gagner and Neto, {Manoel Galvao} and Ramen Goel and Greve, {Jan W.} and Herrera, {Miguel F.} and Jacques Himpens and Huang, {Chih Kun} and Huerta, {Nelson R.} and Iordache, {Nicolae N.} and Jammu, {Gurvinder S.} and Kazunori Kasama and Rajesh Khullar and Kothari, {Shanu N.} and Lilian Kow and Muffazal Lakdawala and Lavryk, {Andriy S.} and Kamal Mahawar and Tarek Mahdy and Samer Mattar and John Melissas and Vinod Menon and {Mirza Gari}, {Mohammed K.} and Mahendra Narwaria and Abdelrahman Nimeri and O’Brien, {Paul E.} and Ospanov, {Oral B.} and Arun Prasad and Pryor, {Aurora D.}",
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TY - JOUR

T1 - Standardization of Bariatric Metabolic Procedures

T2 - World Consensus Meeting Statement

AU - and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:

AU - Bhandari, Mohit

AU - Fobi, M. A.L.

AU - Buchwald, Jane N.

AU - Abbass, Alaa

AU - Abu Dayyeh, Barham K.

AU - Alamo, Munir

AU - Al-Jarallah, Mohammed

AU - Angrisani, Luigi

AU - Behrens, Estuardo J.

AU - Bhasker, Aparna G.

AU - Boza, Camilo

AU - Buchwald, Henry

AU - Chevallier, Jean Marc

AU - Chowbey, Pradeep

AU - Cummings, David E.

AU - Dargent, Jerome

AU - De Luca, Maurizio

AU - DeMaria, Eric J.

AU - DePaula, Aureo

AU - Dixon, John

AU - Dolezalova, Karin

AU - Fried, Martin

AU - Gagner, Michel

AU - Neto, Manoel Galvao

AU - Goel, Ramen

AU - Greve, Jan W.

AU - Herrera, Miguel F.

AU - Himpens, Jacques

AU - Huang, Chih Kun

AU - Huerta, Nelson R.

AU - Iordache, Nicolae N.

AU - Jammu, Gurvinder S.

AU - Kasama, Kazunori

AU - Khullar, Rajesh

AU - Kothari, Shanu N.

AU - Kow, Lilian

AU - Lakdawala, Muffazal

AU - Lavryk, Andriy S.

AU - Mahawar, Kamal

AU - Mahdy, Tarek

AU - Mattar, Samer

AU - Melissas, John

AU - Menon, Vinod

AU - Mirza Gari, Mohammed K.

AU - Narwaria, Mahendra

AU - Nimeri, Abdelrahman

AU - O’Brien, Paul E.

AU - Ospanov, Oral B.

AU - Prasad, Arun

AU - Pryor, Aurora D.

PY - 2019/7/15

Y1 - 2019/7/15

N2 - Background: Standardization of the key measurements of a procedure’s finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods: A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure’s key anatomic alterations. Consensus was defined as ≥ 70% agreement. Results: The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22–24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters’ slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions: Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.

AB - Background: Standardization of the key measurements of a procedure’s finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods: A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure’s key anatomic alterations. Consensus was defined as ≥ 70% agreement. Results: The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22–24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters’ slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions: Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.

KW - Anatomic

KW - Bariatric surgery

KW - Gastric bypass

KW - Metabolic surgery

KW - Sleeve gastrectomy

KW - Standardization

KW - Surgical technique

KW - Type 2 diabetes

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JO - Obesity Surgery

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