Best practice updates for surgical care in weight loss surgery.
To update evidence-based best practice guidelines for surgical care in weight loss surgery (WLS). Systematic search of English-language literature on WLS in MEDLINE, EMBASE, and the Cochrane Library between April 2004 and May 2007. Use of key words to narrow the search for a selective review of abstracts, retrieval of full articles, and grading of evidence according to systems used in established evidence-based models. Evidence-based best practice recommendations from the most recent literature on surgical methods and technologies, risks and benefits, outcomes, and surgeon qualifications and credentialing. We identified >135 articles; the 65 most relevant were reviewed in detail. Regular updates of evidence-based recommendations for best practices in WLS are required to address rapid changes in surgical techniques and patient demographics. Key factors in patient safety include surgical risk factors, type of procedure, surgeon training, and facility certification.
Kelly
John J
JJ
Department of Surgery, University of Massachusetts Medical Center, Worcester, Massachusetts, USA. kellyj@ummhc.org
Shikora
Scott
S
Jones
Daniel B
DB
Hutter
Matthew H
MH
Robinson
Malcolm K
MK
Romanelli
John
J
Buckley
Frederick
F
Lederman
Andrew
A
Blackburn
George L
GL
Lautz
David
D
D050110:Bariatric Surgery / Q000379:methods* / Q000592:standards*; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002986:Clinical Trials as Topic; D003327:Coronary Disease / Q000453:epidemiology; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications / Q000601:surgery; D010348:Patient Care Team; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011300:Preoperative Care / Q000592:standards; D018570:Risk Assessment; D012307:Risk Factors; D014481:United States