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Article: Gastro-esophageal diagnostic workup before bariatric surgery or endoscopic treatment for obesity: position statement of the International Society of Diseases of the Esophagus

TitleGastro-esophageal diagnostic workup before bariatric surgery or endoscopic treatment for obesity: position statement of the International Society of Diseases of the Esophagus
Authors
Issue Date27-Jan-2024
PublisherOxford University Press
Citation
Diseases of the Esophagus, 2024 How to Cite?
Abstract

Obesity is a chronic and multifactorial condition characterized by abnormal weight gain due to excessive adipose tissue accumulation that represents a growing worldwide challenge for public health. In addition, obese patients have an increased risk of hiatal hernia, esophageal, and gastric dysfunction, as well as gastroesophageal reflux disease, which has a prevalence over 40% in those seeking endoscopic or surgical intervention. Surgery has been demonstrated to be the most effective treatment for severe obesity in terms of long-term weight loss, comorbidities, and quality of life improvements and overall mortality decrease. The recent emergence of bariatric endoscopic techniques promises less invasive, more cost-effective, and reproducible approaches to the treatment of obesity. With the endorsement of the International Society for Diseases of the Esophagus, we started a Delphi process to develop consensus statements on the most appropriate diagnostic workup to preoperatively assess gastroesophageal function before bariatric surgical or endoscopic interventions. The Consensus Working Group comprised 11 international experts from five countries. The group consisted of gastroenterologists and surgeons with a large expertise with regard to gastroesophageal reflux disease, bariatric surgery and endoscopy, and physiology. Ten statements were selected, on the basis of the agreement level and clinical relevance, which represent an evidence and experience-based consensus of the International Society for Diseases of the Esophagus.


Persistent Identifierhttp://hdl.handle.net/10722/339948
ISSN
2023 Impact Factor: 2.3
2023 SCImago Journal Rankings: 1.038

 

DC FieldValueLanguage
dc.contributor.authorVisaggi, Pierfrancesco-
dc.contributor.authorGhisa, Matteo-
dc.contributor.authorBarberio, Brigida-
dc.contributor.authorChiu, Philip W-
dc.contributor.authorIshihara, Ryu-
dc.contributor.authorKohn, Geoffrey P-
dc.contributor.authorMorozov, Sergey-
dc.contributor.authorThompson, Sarah K-
dc.contributor.authorWong, Ian-
dc.contributor.authorHassan, Cesare-
dc.contributor.authorSavarino, Edoardo Vincenzo-
dc.date.accessioned2024-03-11T10:40:32Z-
dc.date.available2024-03-11T10:40:32Z-
dc.date.issued2024-01-27-
dc.identifier.citationDiseases of the Esophagus, 2024-
dc.identifier.issn1120-8694-
dc.identifier.urihttp://hdl.handle.net/10722/339948-
dc.description.abstract<p>Obesity is a chronic and multifactorial condition characterized by abnormal weight gain due to excessive adipose tissue accumulation that represents a growing worldwide challenge for public health. In addition, obese patients have an increased risk of hiatal hernia, esophageal, and gastric dysfunction, as well as gastroesophageal reflux disease, which has a prevalence over 40% in those seeking endoscopic or surgical intervention. Surgery has been demonstrated to be the most effective treatment for severe obesity in terms of long-term weight loss, comorbidities, and quality of life improvements and overall mortality decrease. The recent emergence of bariatric endoscopic techniques promises less invasive, more cost-effective, and reproducible approaches to the treatment of obesity. With the endorsement of the International Society for Diseases of the Esophagus, we started a Delphi process to develop consensus statements on the most appropriate diagnostic workup to preoperatively assess gastroesophageal function before bariatric surgical or endoscopic interventions. The Consensus Working Group comprised 11 international experts from five countries. The group consisted of gastroenterologists and surgeons with a large expertise with regard to gastroesophageal reflux disease, bariatric surgery and endoscopy, and physiology. Ten statements were selected, on the basis of the agreement level and clinical relevance, which represent an evidence and experience-based consensus of the International Society for Diseases of the Esophagus.<br></p>-
dc.languageeng-
dc.publisherOxford University Press-
dc.relation.ispartofDiseases of the Esophagus-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleGastro-esophageal diagnostic workup before bariatric surgery or endoscopic treatment for obesity: position statement of the International Society of Diseases of the Esophagus-
dc.typeArticle-
dc.identifier.doi10.1093/dote/doae006-
dc.identifier.eissn1442-2050-
dc.identifier.issnl1120-8694-

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