Best Practice Updates for Surgical Care in Weight Loss Surgery

To update evidence‐based best practice guidelines for surgical care in weight loss surgery (WLS). Systematic search of English‐language literature on WLS in MEDLINE, EMBASE, and the Cochrane Library between April 2004 and May 2007. Use of key words to narrow the search for a selective review of s, r...

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Bibliographic Details
Published in:Obesity (Silver Spring, Md.) Md.), 2009-05, Vol.17 (5), p.863-870
Main Authors: Kelly, John J, Shikora, Scott, Jones, Daniel B, Hutter, Matthew H, Robinson, Malcolm K, Romanelli, John, Buckley, Frederick, Lederman, Andrew, Blackburn, George L, Lautz, David
Format: Article
Language:English
Subjects:
age
bariatric surgery
Bariatric Surgery - methods
Bariatric Surgery - standards
Best practice
best practice guidelines
Cardiovascular Diseases - epidemiology
Clinical Trials as Topic
Coronary Disease - epidemiology
Evidence-Based Medicine
Female
Gastrointestinal surgery
guidelines
Hernias
human health and safety
Humans
Laparoscopy
Learning curves
literature reviews
medical treatment
methodology
mortality
Obesity
Obesity - complications
Obesity - surgery
patient care
Patient Care Team
Patient safety
Patient Selection
patients
Practice Guidelines as Topic
Pregnancy
Preoperative Care - standards
Risk Assessment
Risk Factors
sociodemographic characteristics
Surgeons
Surgical techniques
United States
Weight control
weight loss
weight loss surgery
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Summary:To update evidence‐based best practice guidelines for surgical care in weight loss surgery (WLS). Systematic search of English‐language literature on WLS in MEDLINE, EMBASE, and the Cochrane Library between April 2004 and May 2007. Use of key words to narrow the search for a selective review of s, retrieval of full articles, and grading of evidence according to systems used in established evidence‐based models. Evidence‐based best practice recommendations from the most recent literature on surgical methods and technologies, risks and benefits, outcomes, and surgeon qualifications and credentialing. We identified >135 articles; the 65 most relevant were reviewed in detail. Regular updates of evidence‐based recommendations for best practices in WLS are required to address rapid changes in surgical techniques and patient demographics. Key factors in patient safety include surgical risk factors, type of procedure, surgeon training, and facility certification.
ISSN:1930-7381
1930-739X
DOI:10.1038/oby.2008.570