Establishing Standards of Practice for Endoscopic Sleeve Gastroplasty: A Global Expert Consensus using a Modified Delphi Method.

IF 6.7 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gastrointestinal endoscopy Pub Date : 2025-03-20 DOI:10.1016/j.gie.2025.03.642

Pichamol Jirapinyo, Rashmi Advani, Abdulhameed Al-Sabban, Christopher McGowan, Reem Sharaiha, Aayed Alqahtani, Michael Larsen, Janese Laster, Daniel Maselli, Shailendra Singh, Christopher Thompson

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引用次数: 0

Abstract

Background and aims: Endoscopic sleeve gastroplasty (ESG) is a minimally invasive obesity treatment with established efficacy and safety. However, procedural techniques vary. This study aimed to develop a standardized ESG approach.

Methods: A modified Delphi method was used to define key ESG steps. Global ESG experts (≥300 procedures) participated in three survey rounds. Items with ≥70% agreement were included, and those with <70% consensus were discussed. Only items with unanimous final agreement were retained.

Results: Six experts participated. The final list of key ESG steps included 27 statements: 6 on cognitive skills (100% consensus) and 21 on technical skills (all with high consensus). The latter covered diagnostic endoscopy/pre-suturing steps (97%), fundamental suturing steps (100%), and suture patterns (97%). Key procedural elements with highest consensus included starting at the incisura, using at least six sutures, and avoiding the fundus.

Conclusion: This expert consensus provides step-by-step guidance for safe and effective performance of ESG.

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建立内镜袖状胃成形术的实践标准：使用改良德尔菲法达成全球专家共识。

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来源期刊

Gastrointestinal endoscopy 医学-胃肠肝病学

CiteScore

10.30

自引率

7.80%

发文量

1441

审稿时长

38 days

期刊介绍： Gastrointestinal Endoscopy is a journal publishing original, peer-reviewed articles on endoscopic procedures for studying, diagnosing, and treating digestive diseases. It covers outcomes research, prospective studies, and controlled trials of new endoscopic instruments and treatment methods. The online features include full-text articles, video and audio clips, and MEDLINE links. The journal serves as an international forum for the latest developments in the specialty, offering challenging reports from authorities worldwide. It also publishes abstracts of significant articles from other clinical publications, accompanied by expert commentaries.