医学
裂孔疝
食管
格尔德
疾病
肥胖
生活质量(医疗保健)
内窥镜检查
巴雷特食管
普通外科
重症监护医学
外科
回流
内科学
癌症
腺癌
护理部
作者
Pierfrancesco Visaggi,Matteo Ghisa,Brigida Barberio,Philip Wai Yan Chiu,Ryu Ishihara,Geoffrey P. Kohn,Sergey Morozov,Sarah K. Thompson,Ian Yu‐Hong Wong,Cesare Hassan,Edoardo Savarino
出处
期刊:Diseases of The Esophagus
[Oxford University Press]
日期:2024-01-27
摘要
Summary Obesity is a chronic and multifactorial condition characterized by abnormal weight gain due to excessive adipose tissue accumulation that represents a growing worldwide challenge for public health. In addition, obese patients have an increased risk of hiatal hernia, esophageal, and gastric dysfunction, as well as gastroesophageal reflux disease, which has a prevalence over 40% in those seeking endoscopic or surgical intervention. Surgery has been demonstrated to be the most effective treatment for severe obesity in terms of long-term weight loss, comorbidities, and quality of life improvements and overall mortality decrease. The recent emergence of bariatric endoscopic techniques promises less invasive, more cost-effective, and reproducible approaches to the treatment of obesity. With the endorsement of the International Society for Diseases of the Esophagus, we started a Delphi process to develop consensus statements on the most appropriate diagnostic workup to preoperatively assess gastroesophageal function before bariatric surgical or endoscopic interventions. The Consensus Working Group comprised 11 international experts from five countries. The group consisted of gastroenterologists and surgeons with a large expertise with regard to gastroesophageal reflux disease, bariatric surgery and endoscopy, and physiology. Ten statements were selected, on the basis of the agreement level and clinical relevance, which represent an evidence and experience-based consensus of the International Society for Diseases of the Esophagus.
科研通智能强力驱动
Strongly Powered by AbleSci AI