Evidence map›Paper›PMID 29243145›Full record

ArticleObesity surgery2018

The First Consensus Statement on One Anastomosis/Mini Gastric Bypass (OAGB/MGB) Using a Modified Delphi Approach.

Kamal K Mahawar, Jacques Himpens, Scott A Shikora, Jean-Marc Chevallier, Mufazzal Lakdawala, Maurizio De Luca, Rudolf Weiner, Ali Khammas, Kuldeepak Singh Kular, Mario Musella and 6 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 10 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 10 syntheses or guidelines pooled it, 153 citations in OpenAlex.

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  4. Cost-effectiveness of metabolic surgery for the treatment of type 2 diabetes and obesity: a systematic review of economic evaluations.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 11 countries.

Kamal K MahawarBariatric Unit, Department of General Surgery, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK. kamal_mahawar@hotmail.com.ORCID 0000-0003-2551-3462
Jacques HimpensSt. Pierre University Hospital, Brussels, Belgium.
Scott A ShikoraBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Jean-Marc ChevallierUniversité Paris 5, Paris, France.
Mufazzal LakdawalaDigestive Health Institute, Mumbai, India.
Maurizio De LucaMontebelluna Treviso Hospital, Treviso, Italy.
Rudolf WeinerClinic Obesity Surgery, Sana-Klinikum Offenbach, Offenbach, Germany.
Ali KhammasRashid Hospital, Dubai, United Arab Emirates.
Kuldeepak Singh KularKular College and Hospitals Pvt. Ltd., Bija, Ludhiana, Punjab, India.
Mario MusellaAdvanced Biomedical Sciences Department, Federico II University, Naples, Italy.
Gerhard PragerMedical University of Vienna, Vienna, Austria.
Mohammad Khalid MirzaKing Fahad University Hospital, Khobar, Saudi Arabia.
Miguel CarbajoCentre of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain.
Lilian KowAdelaide Bariatric Centre, Adelaide, Australia.
Wei-Jei LeeMin-Sheng General Hospital, Taoyuan City, Taiwan.
Peter K SmallBariatric Unit, Department of General Surgery, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Sunderland Royal Hospital · GBBrigham and Women's Hospital · USCa' Foncello Hospital · ITCentre Hospitalier Universitaire de Saint-Pierre · BEFederico II University Hospital · ITKing Fahd Hospital of the University · SAMedical University of Vienna · ATMin Sheng General Hospital · TWRashid Hospital · AESana Klinikum Offenbach · DEThe University of Adelaide · AUUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of surgeons worldwide are now performing one anastomosis/mini gastric bypass (OAGB/MGB). Lack of a published consensus amongst experts may be hindering progress and affecting outcomes. This paper reports results from the first modified Delphi consensus building exercise on this procedure.

methodsA committee of 16 recognised opinion-makers in bariatric surgery with special interest in OAGB/MGB was constituted. The committee invited 101 OAGB/MGB experts from 39 countries to vote on 55 statements in areas of controversy or variation associated with this procedure. An agreement amongst ≥ 70.0% of the experts was considered to indicate a consensus.

resultsA consensus was achieved for 48 of the 55 proposed statements after two rounds of voting. There was no consensus for seven statements. Remarkably, 100.0% of the experts felt that OAGB/MGB was an "acceptable mainstream surgical option" and 96.0% felt that it could no longer be regarded as a new or experimental procedure. Approximately 96.0 and 91.0% of the experts felt that OAGB/MGB did not increase the risk of gastric and oesophageal cancers, respectively. Approximately 94.0% of the experts felt that the construction of the gastric pouch should start in the horizontal portion of the lesser curvature. There was a consensus of 82, 84, and 85% for routinely supplementing iron, vitamin B

conclusionOAGB/MGB experts achieved consensus on a number of aspects concerning this procedure but several areas of disagreements persist emphasising the need for more studies in the future.

Indexed as

Bariatric SurgeryConsensusDelphi TechniqueGastric BypassGeographyHumansInternationalityObesity, MorbidStomachConsensus statementDelphi approachGastric bypassLoop gastric bypassMini gastric bypassOmega loop gastric bypassOne anastomosis gastric bypassSingle anastomosis gastric bypass

Identifiers

PMID29243145
OpenAlexW2775243694

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.