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A Spanish Society joint SECO and SEEDO approach to the Post-operative management of the patients undergoing surgery for obesity

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Abstract

Purpose

Bariatric surgery is the method of choice for the management or treatment of obesity. Bariatric surgery brings about several physiological changes in the body and is associated with set of complications. The aim of this study is to provide guidelines on post bariatric surgery management based on consensus by the Spanish society for Obesity Surgery (Sociedad Española de Cirugía de la Obesidad) (SECO) and the Spanish Society for the Study of Obesity (Sociedad Española para el Estudio de la Obesidad) (SEEDO).

Method

The boards proposed seven experts from each society. The experts provided the evidence and a grade of recommendation on the selected topics based on systematic reviews/meta-analysis. A list of clinical practical recommendations levels of evidence and grades of these recommendations was derived from the consensus statements from the members of these societies.

Results

Seventeen topics related to post-operative management were reviewed after bariatric surgery. The experts came with 47 recommendations and statements. The mean number of persons voting at each statement was 54 (range 36-76).

Conclusion

In this consensus, we have designed a set of guidelines to be followed while managing patients after bariatric surgery. Expertise and knowledge of the clinicians are required to convey suitable considerations to the post-bariatric patients. There should also be extensive follow-up plans for the bariatric surgery patients.

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Authors and Affiliations

  1. Endocrine, metabolic and bariatric Unit, General Surgery Department, Hospital Vall d’Hebron, Center of Excellence for the EAC-BC, Universitat Autònoma de Barcelona, Barcelona, Spain

    R Vilallonga & A Garcia Ruiz-de-Gordejuela

  2. Clinical Nutritión Unit, Endocrinology and Nutrition Service, University Hospital “Virgen del Rocío”, Seville, Spain

    JL Pereira-Cunill

  3. Unit of Innovation in Minimally Invasive Surgery, Department of Surgery, University Hospital “Virgen del Rocío”, Hospital Quironsalud Sagrado Corazón, University of Sevilla, Sevilla, Spain

    S Morales-Conde & I Alarcón

  4. Unidad de Nutrición Clínica y Dietética del Servicio de Endocrinología y Nutrición del Hospital Gregorio Marañón, Madrid, Spain

    I Breton

  5. UGC Cirugía General y Aparato Digestivo, Hospital Universitario Virgen Macarena, Universidad de Sevilla, Sevilla, Spain

    E Domínguez-Adame

  6. Clinica Obesitas, Valencia, Spain

    JV Ferrer

  7. Servicio de Endocrinología, Hospital del Mar de Barcelona, Departament de Medicina, CIBERobn, ISCIII, Universitat Autònoma de Barcelona, Barcelona, Spain

    A Goday

  8. Servicio deEndocrinología y Nutrición, Hospital Universitari Arnau de Vilanova de Lleida, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida (UdL), Avda. Rovira Roure, 80 25198, Lleida, Spain

    A Lecube

  9. Unidad Cirugía Esófago-Gástrica, Metabólica y Bariátrica, Hospital Clínico San Carlos, Madrid, Spain

    E Martín García-Almenta

  10. Servicio de Endocrinología y Nutrición, Hospital Clínico San Carlos, Idissc, Facultad de Medicina, Universidad Complutense, Madrid, Spain

    MÁ Rubio

  11. Service of Endocrinology and Nutrition, Hospital Clínico Universitario Virgen de Victoria de Malaga, Málaga, Spain

    FJ Tinahones

  12. Unidad de Nutrición Clínica y de la Unidad de Obesidad Mórbida (Unidad de Gestión de Endocrinología y Nutrición, UGEN), Hospital Universitario Virgen del Rocío, Seville, Spain

    PP García-Luna

Authors
  1. R Vilallonga
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  2. JL Pereira-Cunill
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  3. S Morales-Conde
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  4. I Alarcón
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  5. I Breton
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  6. E Domínguez-Adame
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  7. JV Ferrer
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  8. A Garcia Ruiz-de-Gordejuela
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  9. A Goday
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  10. A Lecube
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  11. E Martín García-Almenta
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  12. MÁ Rubio
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  13. FJ Tinahones
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  14. PP García-Luna
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Corresponding author

Correspondence to R Vilallonga.

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Vilallonga, R., Pereira-Cunill, J., Morales-Conde, S. et al. A Spanish Society joint SECO and SEEDO approach to the Post-operative management of the patients undergoing surgery for obesity. OBES SURG 29, 3842–3853 (2019). https://doi.org/10.1007/s11695-019-04043-8

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  • DOI: https://doi.org/10.1007/s11695-019-04043-8

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