Related Experiment Video
Updated: Nov 21, 2025
03:32
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
1.2K
The first modified Delphi consensus statement on sleeve gastrectomy
Kamal K Mahawar1,2, Islam Omar3, Rishi Singhal4
1Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK. kmahawar@gmail.com.
Surgical Endoscopy
|January 12, 2021
Summary
Sleeve gastrectomy (SG) is a common bariatric surgery. Experts reached consensus on SG techniques, emphasizing it
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Sleeve gastrectomy (SG) is the most frequent bariatric procedure globally.
- Significant practice variations exist regarding SG procedures.
- A modified Delphi consensus-building exercise was conducted to address these variations.
Purpose of the Study:
- To establish expert consensus on key aspects of sleeve gastrectomy.
- To standardize practices and improve outcomes for sleeve gastrectomy patients.
- To guide future research in sleeve gastrectomy.
Main Methods:
- A committee of 54 international opinion leaders in bariatric surgery was formed.
- A modified Delphi methodology involving two rounds of voting was employed.
- Consensus was defined as agreement among ≥70.0% of experts.
Main Results:
- Consensus was achieved on 78 out of 97 statements.
- Experts agreed SG is not purely restrictive and not ideal for Barrett's esophagus without dysplasia.
- Consensus was reached on using a 36-40 Fr orogastric tube, maintaining 1 cm distance from the angle of His, and recommending 5-year post-surgery endoscopy screening for Barrett's esophagus.
Conclusions:
- A multinational expert consensus was established for several sleeve gastrectomy aspects.
- These findings aim to enhance sleeve gastrectomy outcomes.
- The consensus provides guidance for future research in sleeve gastrectomy.
