One anastomosis gastric bypass in children and adolescents: An international expert survey

IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM

Clinical Obesity Pub Date : 2025-04-28 DOI:10.1111/cob.70018

Mohammad Kermansaravi, Sonja Chiappetta, Mario Musella, Miguel Angel Carbajo, Radwan Kassir, Jean-Marc Chevallier, Khaled Gawdat, Kuldeepak Singh Kular, Gerhard Prager, Rudolf Weiner, Scott Alan Shikora, Chetan Parmar, Expert Collaborative Group

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引用次数: 0

Abstract

Despite the growing popularity of one anastomosis gastric bypass (OAGB) as the third most commonly performed metabolic and bariatric surgery (MBS) procedure worldwide, concerns remain among MBS surgeons about performing OAGB in children and adolescents. This international expert survey was conducted to assess the perspectives of experts regarding the different aspects of OAGB specific to these patient groups. A total of 102 expert MBS surgeons from 41 countries were invited to participate in this survey, which took place between 24 May 2024, and 11 June 2024. The participating surgeons provided their responses through a 30-question online survey, employing a multiple-choice format. Approximately 6.85% of participants believe there should be no minimum age limit for OAGB and 26.5% of experts perform OAGB only in patients 18 years old and above. The experts define adherence to postoperative diet, patient cooperation, and managing family expectations as the main challenges encountered when performing OAGB in this population. About 92.2% of experts believe that consultation and follow-up by a paediatrician, as part of a multidisciplinary team (MDT), are essential before surgery. Also, 76.5% of experts believe that bone age should be determined in these age groups before OAGB. Despite the absence of strong evidence refuting the safety and efficacy of OAGB in children and adolescents, this survey revealed that there are still some concerns about the long-term safety and efficacy of OAGB in children and adolescents.

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儿童和青少年一种吻合胃旁路术：国际专家调查。

尽管一种吻合胃旁路术（OAGB）作为全球第三种最常用的代谢和减肥手术（MBS）手术越来越受欢迎，但MBS外科医生仍然担心在儿童和青少年中实施OAGB。进行这项国际专家调查是为了评估专家对这些患者群体特定的OAGB不同方面的观点。在2024年5月24日至2024年6月11日期间，来自41个国家的102名MBS专家外科医生被邀请参加了这项调查。参与的外科医生通过30个问题的在线调查提供了他们的回答，采用多项选择的形式。大约6.85%的参与者认为OAGB不应该有最低年龄限制，26.5%的专家只对18岁及以上的患者进行OAGB。专家们将对术后饮食的坚持、患者合作和管理家庭期望定义为在该人群中实施OAGB时遇到的主要挑战。大约92.2%的专家认为，作为多学科小组（MDT）的一部分，儿科医生的咨询和随访是在手术前必不可少的。76.5%的专家认为应在OAGB前确定这些年龄组的骨龄。尽管没有强有力的证据反驳OAGB在儿童和青少年中的安全性和有效性，但本调查显示，对于OAGB在儿童和青少年中的长期安全性和有效性仍然存在一些担忧。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Obesity ENDOCRINOLOGY & METABOLISM-

CiteScore

5.90

自引率

3.00%

发文量

期刊介绍： Clinical Obesity is an international peer-reviewed journal publishing high quality translational and clinical research papers and reviews focussing on obesity and its co-morbidities. Key areas of interest are: • Patient assessment, classification, diagnosis and prognosis • Drug treatments, clinical trials and supporting research • Bariatric surgery and follow-up issues • Surgical approaches to remove body fat • Pharmacological, dietary and behavioural approaches for weight loss • Clinical physiology • Clinically relevant epidemiology • Psychological aspects of obesity • Co-morbidities • Nursing and care of patients with obesity.