Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Practice Guideline
. 2024 Sep;76(5):1865-1877.
doi: 10.1007/s13304-024-01843-1. Epub 2024 Jul 10.

Upcoming Italian clinical practice guidelines on endoscopic bariatric treatment of overweight and obesity: design and methodological aspects

Maurizio De Luca  1 , Antonio Silverii  2 , Monica Zese  3 , Giovanni Galasso  4 , Rosario Bellini  5 , Maria Grazia Carbonelli  6 , Rita Cataldo  7 , Mariarosaria Cerbone  8 , Marco Chianelli  9 , Francesca Clemente Gregoris  10 , Rita Conigliaro  11 , Carla Micaela Cuttica  12 , Carlo de Werra  13 , Massimo Di Simone  14 , Ludovico Docimo  15 , Mario Musella  13 , Giuseppe Gagliardi  16 , Luigi Angrisani  13 , Nicola Di Lorenzo  17 , Ivo Boskoski  18 , Alfredo Genco  19 , Marco Raffaelli  18 , Andrea Anderloni  20 , Giovanni Casella  21 , Giuseppe Galloro  22 , Arianna Goracci  23 , Valentina Lorenzoni  24 , Raffaele Manta  25 , Paolo Marzullo  26 , Gerardo Medea  27 , Giuseppe Navarra  28 , Monica Ortenzi  29 , Barbara Paolini  30 , Luigi Piazza  31 , Debora Porri  32 , Farnaz Rahimi  33 , Simone Rugolotto  34 , Giulia Pontesilli  35 , Giovanni Sarnelli  36 , Luca Sessa  18 , Iris Zani  37 , Marco Antonio Zappa  38 , Giulia Bandini  39 , Benedetta Ragghianti  2 , Matteo Monami  2
Affiliations
Practice Guideline

Upcoming Italian clinical practice guidelines on endoscopic bariatric treatment of overweight and obesity: design and methodological aspects

Maurizio De Luca et al. Updates Surg. 2024 Sep.

Abstract

Obesity/overweight and its complications are a growing problem in many countries. Italian Society of Bariatric and Metabolic Surgery for Obesity (Società Italiana di Chirurgia dell'Obesità e delle Malattie Metaboliche-SICOB) decided to develop the first Italian guidelines for the endoscopic bariatric treatment of obesity. The creation of SICOB Guidelines is based on an extended work made by a panel of 44 members and a coordinator. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology has been used to decide the aims, reference population, and target health professionals. Clinical questions have been created using the PICO (patient, intervention, comparison, outcome) conceptual framework. We will perform systematic reviews, formal meta-analyses, and network meta-analyses for each PICO and critical outcomes aimed at assessing and rating the efficacy and safety of endoscopic bariatric procedures in comparison with either no interventions, lifestyle interventions, or approved anti-obesity treatments in trials with a follow-up of at least 52 weeks. For PICO on temporary endoscopic bariatric treatments, we will also consider RCT with a minimum duration of 6 months. The panel proposed 8 questions, organized into four domains: A. Indication for endoscopic bariatric surgery; B. Revisional surgery; C. Temporary gastric and duodenal-jejunal procedures; D. Endoscopic diagnosis/treatment of bariatric and metabolic surgery complications. These guidelines will apply to patients aged ≥ 14 years) with body mass index (BMI) ≥ 27 kg/m2 and requiring endoscopic bariatric surgery or endoscopic diagnostic and/or therapeutic procedures. The areas covered by the clinical questions included indications of endoscopic bariatric surgery, types of surgery, revisional surgery, and management of bariatric and metabolic surgery complications.

Keywords: Endoscopic bariatric surgery; Guidelines; Obesity; Overweight.

PubMed Disclaimer

References

    1. Jaacks LM, Vandevijvere S, Pan A et al (2019) The obesity transition: stages of the global epidemic. Lancet Diabetes Endocrinol 7(3):231–240. https://doi.org/10.1016/s2213-8587(19)30026-9 - DOI
    1. Reis MG, Moreira LF, Carvalho LS, De Castro CT, Vieira RA, Guimaraes NS (2024) Weight regain after surgery for obesity and weight related disease: a systematic review and meta-analysis of observational studies. Obes Med 45:100528 - DOI
    1. Dixon JB, le Roux CW, Rubino F, Zimmet P (2012) Bariatric surgery for type 2 diabetes. Lancet 379(9833):2300–2311. https://doi.org/10.1016/s0140-6736(12)60401-2 - DOI
    1. De Luca M, Zappa MA, Zese M et al (2022) Development of the Italian Clinical Practice Guidelines on bariatric and metabolic surgery: design and methodological aspects. Nutrients. https://doi.org/10.3390/nu15010189 - DOI
    1. De Luca M, Zese M, Bandini G et al (2023) Bariatric surgery for patients with overweight/obesity. a comprehensive grading methodology and network metanalysis of randomized controlled trials on weight loss outcomes and adverse events. Obes Surg 33(12):4147–4158 - DOI

Publication types

LinkOut - more resources