改良德尔菲法在中国袖胃切除术临床应用的专家共识

IF 3.5 3区医学 Q1 SURGERY

Asian Journal of Surgery Pub Date : 2025-05-01 DOI:10.1016/j.asjsur.2024.11.211

Peirong Tian, Boyu Tao, Mengyi Li, Yang Liu, Jingli Liu, Jia Liu, Peng Zhang, Zhongtao Zhang, Chinese College of Metabolic and Bariatric Surgeons and Beijing Quality Control and Improvement Center of Metabolic and Bariatric Surgery

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引用次数: 0

摘要

背景袖式胃切除术（SG）是世界范围内最常见的减肥手术，包括在中国。尽管它很流行，但在实践中存在着显著的差异。这一共识旨在规范中国的SG实践。方法采用改进的德尔菲法对50名减肥外科医生进行专家意见收集。与会者对80项声明进行了投票，其中包括适应症、禁忌症、术前/术后管理和手术技术。结果80项评议中有54项达成共识。关键领域包括SG是高手术风险和严重肥胖患者的首选。就手术技术如钉线加固和手术中发现的裂孔疝的处理达成了一致意见。在术前和术后护理方面也达成了共识，包括常规内窥镜检查和术后增强恢复（ERAS）方案的使用。结论这一共识为规范中国SG实践提供了有价值的指导。它为规范SG实践、改善结果和指导未来的研究方向提供了循证建议。

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Expert consensus on the clinical practice of sleeve gastrectomy in China using the modified Delphi method

Background

Sleeve gastrectomy (SG) is the most commonly performed bariatric surgery worldwide, including in China. Despite its prevalence, significant variations exist in its practice. This consensus aims to standardize SG practices in China.

Methods

A modified Delphi method was employed to gather expert opinions from 50 Chinese bariatric surgeons. Participants voted on 80 statements covering indications, contraindications, preoperative/postoperative management, and surgical techniques.

Results

Consensus was achieved on 54 out of 80 statements. Key areas include SG being the preferred choice for patients with high surgical risk and severe obesity. Agreement was reached on surgical techniques such as staple line reinforcement and the management of hiatal hernias found during surgery. Consensus was also achieved on aspects of preoperative and postoperative care, including routine endoscopy and the use of the enhanced recovery after surgery (ERAS) protocol.

Conclusions

This consensus provides valuable guidelines for standardizing SG practices in China. It provides evidence-based recommendations to standardize SG practice, improve outcomes, and guide future research directions.

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来源期刊

Asian Journal of Surgery 医学-外科

CiteScore

3.60

自引率

31.40%

发文量

1589

审稿时长

33 days

期刊介绍： Asian Journal of Surgery, launched in 1978, is the official peer-reviewed open access journal of the Asian Surgical Association, the Taiwan Robotic Surgery Association, and the Taiwan Society of Coloproctology. The Journal is published monthly by Elsevier and is indexed in SCIE, Medline, ScienceDirect, Scopus, Embase, Current Contents, PubMed, Current Abstracts, BioEngineering Abstracts, SIIC Data Bases, CAB Abstracts, and CAB Health. ASJSUR has a growing reputation as an important medium for the dissemination of cutting-edge developments in surgery and its related disciplines in the Asia-Pacific region and beyond. Studies on state-of-the-art surgical innovations across the entire spectrum of clinical and experimental surgery are particularly welcome. The journal publishes original articles, review articles, and case reports that are of exceptional and unique importance. The journal publishes original articles, review articles, and case reports that are of exceptional and unique importance.