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Peri-operative management of obese patients in digestive surgery: Clinical practice guidelines from the French Society of Digestive Surgery.
Tranchart, H; Gaillard, M; Lazzati, A; Le Fouler, A; Bouriez, D; Zouaghi Bellemin, A; Kinn, H; Roche, C; Théreaux, J; Gronnier, C; Moszkowicz, D.
Affiliation
  • Tranchart H; Department of Minimally Invasive Digestive Surgery, Antoine-Béclère Hospital, AP-HP, Paris-Saclay University, Clamart, France. Electronic address: hadrien.tranchart@abc.aphp.fr.
  • Gaillard M; Department of Digestive, Hepatobiliary and Endocrine Surgery, Cochin Hospital, AP-HP, Paris Cité University, Paris, France.
  • Lazzati A; Department of General, Digestive and Obesity Surgery, Intercommunal Hospital Center, Créteil, France.
  • Le Fouler A; Department of General, Digestive and Obesity Surgery, Intercommunal Hospital Center, Créteil, France.
  • Bouriez D; Department of Digestive and Endocrine Surgery, University Hospital Center of Bordeaux, Bordeaux, France.
  • Zouaghi Bellemin A; General and Digestive Surgery Department, Louis-Mourier Hospital, AP-HP, North-University Paris Cité, Paris, France.
  • Kinn H; Visceral and Digestive Surgery Department, Regional University Hospital Center of Brest, Brest, France.
  • Roche C; Visceral and Digestive Surgery Department, Regional University Hospital Center of Brest, Brest, France.
  • Théreaux J; Visceral and Digestive Surgery Department, Regional University Hospital Center of Brest, Brest, France.
  • Gronnier C; Department of Digestive and Endocrine Surgery, University Hospital Center of Bordeaux, Bordeaux, France.
  • Moszkowicz D; General and Digestive Surgery Department, Louis-Mourier Hospital, AP-HP, North-University Paris Cité, Paris, France.
J Visc Surg ; 160(3): 214-218, 2023 06.
Article in En | MEDLINE | ID: mdl-37005111
ABSTRACT

INTRODUCTION:

The French Society of Digestive Surgery (Société Française de Chirurgie Digestive [SFCD]) has elaborated clinical practice guidelines for the management of the obese patient undergoing gastro-intestinal surgery.

METHODS:

The literature was analyzed according to the GRADE® (Grading of Recommendations Assessment, Development and Evaluation) methodology divided into five chapters preoperative management, modalities of transportation and installation of the patient in the operating room, specific characteristics related to laparoscopic surgery, specific characteristics related to traditional surgery, and postoperative management. Each question was formulated according to the PICO format (Patients, Intervention, Comparison, Outcome).

RESULTS:

Synthesis of expert opinions and the application of the GRADE methodology produced 30 recommendations among which three were strong and nine were weak. The GRADE methodology could not be applied for 18 questions, for which only expert opinion was obtained.

CONCLUSION:

These clinical practice guidelines can help surgeons optimize the peri-operative management of the obese patient undergoing gastro-intestinal surgery.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Digestive System Surgical Procedures / Laparoscopy Type of study: Guideline Limits: Humans Language: En Journal: J Visc Surg Journal subject: GASTROENTEROLOGIA Year: 2023 Document type: Article
Fulltext
Add to My VHL
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Digestive System Surgical Procedures / Laparoscopy Type of study: Guideline Limits: Humans Language: En Journal: J Visc Surg Journal subject: GASTROENTEROLOGIA Year: 2023 Document type: Article