ArticleScientific reports2024
Current recommendations for procedure selection in class I and II obesity developed by an expert modified Delphi consensus.
Open access · goldAbstract readConsensus Statement
In one paragraph
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16citing papers in PubMed, 1 pooled it
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Pooled it
- The Genetic Blueprint of Obesity: From Pathogenesis to Novel Therapies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- Metabolic and Bariatric Surgery for Class I Obesity (Body Mass Index 30-34.9 kg/mJournal of metabolic and bariatric surgery · 2025Review
- Impact of preconceptional vertical sleeve gastrectomy on metabolic, cardiovascular and hepatic functions of Sprague Dawley female rats and perinatal consequences.Scientific reports · 2025Article
- Breast Cancer Characteristics after Metabolic and Bariatric Surgery: A Matched Comparison to Patients with Severe Obesity.Obesity surgery · 2025Article
- One-Year Outcomes of SADI-S in Chinese Patients with Type 2 Diabetes and BMI < 35 kg/mObesity surgery · 2025Article
- Body roundness index trajectories in Chinese bariatric surgery patients: a retrospective longitudinal study.Lipids in health and disease · 2025Article
- Optimizing Nutritional Management Before and After Bariatric Surgery: A Comprehensive Guide for Sustained Weight Loss and Metabolic Health.Nutrients · 2025Review
- Effects of sleeve gastrectomy and Roux-en-Y gastric bypass on the pharmacokinetics of gabapentin and pregabalin: A cohort study.PloS one · 2025Article
- Development and evaluation of a shared decision-making system for choosing the type of bariatric surgery.BMC medical informatics and decision making · 2024Article
- The Risk of Leakage and Bleeding After Using the Ezisurg Endostapler Technique for Bariatric Surgery.Cureus · 2024Article
- Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus.Obesity surgery · 2024Article
- Gastric Wall Necrosis and Perforation Following Argon Plasma Coagulation (APC) Coupled with Endoscopic Sleeve Gastroplasty (ESG) and Its Emergency Laparoscopic Surgical Management.Obesity surgery · 2024Article
- Impact of Laparoscopic Sleeve Gastrectomy on Fatigue in Obese Patients.Journal of clinical medicine · 2024Article
- Bariatric surgery: trends in utilization, complications, conversions and revisions.Surgical endoscopy · 2024Article
- From surgery to functional capacity: muscle strength modifications in women post sleeve gastrectomy.BMC sports science, medicine & rehabilitation · 2024Article
Corrections and comments
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Authors and funding
78 authors at 20 institutions in 29 countries.
Mohammad KermansaraviDepartment of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran. mkermansaravi@yahoo.com.
Sonja ChiappettaDepartment of General and Laparoscopic Surgery, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy. drschiappetta@gmail.com.
Chetan ParmarWhittington Hospital, London, UK.
Scott A ShikoraDepartment of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.
Gerhard PragerMedical University of Vienna, Vienna, Austria.
Teresa LaMastersUnitypoint Clinic Weight Loss Specialists, West Des Moines, IA, USA.
Jaime PonceBariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.
Lilian KowAdelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.
Abdelrahman NimeriDepartment of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.
Shanu N KothariPrisma Health, Department of Surgery, University of South Carolina School of Medicine, Greenville, SC, USA.
Edo AartsWeightWorks Clinics and Allurion Clinics, Amersfoort, The Netherlands.
Syed Imran AbbasIranian Hospital, Alwasl Road, Dubai, UAE.
Ahmad AlyAustin and Repatriation Medical Centre, University of Melbourne, Heidelberg, VIC, Australia.
Ali AminianDepartment of General Surgery, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
Ahmad BashirMinimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.
Estuardo BehrensNew Life Center, Guatemala, Guatemala.
Helmuth BillyVentura Advanced Surgical Associates, Ventura, CA, USA.
Miguel A CarbajoCentre of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain.
Benjamin ClappDepartment of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX, USA.
Jean-Marc ChevallierUniversité Paris 5, Paris, France.
Ricardo V CohenCenter for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, Sao Paolo, Brazil.
Jerome DargentPolyclinique Lyon Nord, Rillieux-la-Pape, France.
Bruno DillemansDepartment of General Surgery, AZ Sint Jan Brugge-Oostende, Bruges, Belgium.
Silvia L FariaGastrocirurgia de Brasilia, University of Brasilia, Brasilia, Brazil.
Manoel Galvao NetoEndovitta Institute, São Paulo, Brazil.
Pierre Y GarneauDivision of Bariatric Surgery, CIUSSS-NIM, Montreal, Canada.
Khaled GawdatBariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ashraf HaddadMinimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.
Mohamad Hayssam ElFawalMakassed General Hospital, Beirut, Lebanon.
Kelvin HigaFresno Heart and Surgical Hospital, UCSF Fresno, Fresno, CA, USA.
Jaques HimpensBariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.
Farah HusainUniversity of Arizona College of Medicine, Phoenix, USA.
Matthew M HutterDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Kazunori KasamaWeight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan.
Radwan KassirDepartment of Digestive Surgery, CHU Félix Guyon, Saint Denis, La Réunion, France.
Amir KhanWalsall Healthcare NHS Trust, Walsall, UK.
Mousa KhoursheedTaiba Hospital, Kuwait City, Kuwait.
Matthew KrohDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Marina S KurianDepartment of Surgery, New York University Grossman School of Medicine, New York, NY, USA.
Wei-Jei LeeMedical Weight Loss Center, China Medical University Shinchu Hospital, Zhubei City, Taiwan.
Ken LoiDirector of St George Surgery, Sydney, Australia.
Kamal MahawarSouth Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.
Corrigan L McBrideUniversity of Nebraska Medical Center, Omaha, USA.
Hazem AlmomaniNMC Royal Hospital, Abu Dhabi, UAE.
John MelissasBariatric Unit, Heraklion University Hospital, University of Crete, Crete, Greece.
Karl MillerDiakonissen Wehrle Private Hospital, Salzburg, Austria.
Monali MisraCedars Sinai Medical Center, Los Angeles, USA.
Mario MusellaAdvanced Biomedical Sciences Department, Federico II" University, Naples, Italy.
C Joe NorthupBMI Surgery, New Lenox, IL, USA.
Mary O'KaneDepartment of Nutrition and Dietetics, Leeds Teaching Hospitals, NHS Trust, Leeds, UK.
Pavlos K PapasavasDivision of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, CT, USA.
Mariano PalermoDepartment of Surgery, Centro CIEN-Diagnomed, University of Buenos Aires, Buenos Aires, Argentina.
Richard M PetersonDepartment of General and Minimally Invasive Surgery, UT Health San Antonio, San Antonio, TX, USA.
Ralph PeterliDepartment of Visceral Surgery, Clarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
Luis PoggiDepartment of Surgery Clinica Anglo Americana, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Janey S A PrattDepartment of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue, GS 112, Palo Alto, CA, 94304, USA.
Aayad AlqahtaniNew You Medical Center, King Saud University, Obesity Chair, Riyadh, Saudi Arabia.
Almino C RamosMedical Director of Gastro-Obeso-Center, Institute for Metabolic Optimization, Sao Paulo, Brazil.
Karl RheinwaltDepartment of Bariatric, Metabolic, and Plastic Surgery, St. Franziskus Hospital, Cologne, Germany.
Rui RibeiroCentro Multidisciplinar Do Tratamento da Obesidade, Hospital Lusíadas Amadora e Lisbon, Amadora, Portugal.
Ann M RogersDepartment of Surgery - Division of Minimally Invasive and Bariatric Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Bassem SafadiAman Hospital, Doha, Qatar.
Paulina SalminenDivision of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Turku, Finland.
Sergio SantoroHospital Israelita Albert Einstein, Av. Albert Einstein, 627, São Paulo, 05652-900, Brazil.
Nathaniel SannAdvanced Surgical Partners of Virginia, Richmond, VA, USA.
John D ScottDivision of Bariatric and Minimal Access Surgery, Department of Surgery, University of South Carolina School of Medicine, Greenville, SC, USA.
Asim ShabbirNational University of Singapore, Singapore, Singapore.
Stephanie SoggMassachusetts General Hospital Weight Center, Boston, MA, USA.
Erik StenbergDepartment of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Michel SuterDepartment of Surgery, Riviera-Chablais Hospital, Rennaz, Switzerland.
Antonio TorresDepartment of Surgery, Hospital Clínico San Carlos, Complutense University of Madrid, Calle del Prof Martín Lagos, S/N, 28040, Madrid, Spain.
Surendra UgaleKirloskar and Virinchi Hospitals, Hyderabad, Telangana, India.
Ramon VilallongaEndocrine, Bariatric, and Metabolic Surgery Department, Universitary Hospital Vall Hebron, Barcelona, Spain.
Cunchuan WangDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Rudolf WeinerBariatric Surgery Unit, Sana Clinic Offenbach, Offenbach, Germany.
Natan ZundelDepartment of Surgery, University of Buffalo, Buffalo, NY, USA.
Luigi AngrisaniDepartment of Public Health, Federico II University of Naples, Naples, Italy.
Maurizio De LucaDepartment of General Surgery Rovigo Hospital, Rovigo, Italy.
Cleveland Clinic · USJordan Hospital · JOAdvanced Composite Products (United States) · USAin Shams University · EGAl-Sabah Hospital · KWAZ Sint-Jan · BEBiological Mimetics (United States) · USBrigham and Women's Hospital · USCedars-Sinai Medical Center · USCentre Hospitalier Interrégional Edith Cavell · BECentre Hospitalier Universitaire de La Réunion · FRCentre Intégré Universitaire de Santé et de Services Sociaux du Saguenay–Lac-Saint-Jean · CACHI Memorial Medical Group · USChina Medical University Hospital · TWFederico II University Hospital · ITFirst Affiliated Hospital of Jinan University · CNFlinders University · AUFresno VA Medical Center · USGastro Obeso Center · BRHartford Hospital · US
Funding
No grant is acknowledged in the PubMed record.
Abstract
Metabolic and bariatric surgery (MBS) is widely considered the most effective option for treating obesity, a chronic, relapsing, and progressive disease. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) issued new guidelines on the indications for MBS, which have superseded the previous 1991 National Institutes of Health guidelines. The aim of this study is to establish the first set of consensus guidelines for selecting procedures in Class I and II obesity, using an Expert Modified Delphi Method. In this study, 78 experienced bariatric surgeons from 32 countries participated in a two-round Modified Delphi consensus voting process. The threshold for consensus was set at an agreement or disagreement of ≥ 70.0% among the experts. The experts reached a consensus on 54 statements. The committee of experts reached a consensus that MBS is a cost-effective treatment option for Class II obesity and for patients with Class I obesity who have not achieved significant weight loss through non-surgical methods. MBS was also considered suitable for patients with Type 2 diabetes mellitus (T2DM) and a body mass index (BMI) of 30 kg/m
Indexed as
Bariatric SurgeryDiabetes Mellitus, Type 2Gastric BypassObesity, MorbidDelphi TechniqueGastrectomyHumansObesityRetrospective StudiesTreatment OutcomeBariatric surgeryClass I and II obesityConsensusMetabolic surgeryProcedure selection
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