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Article ; Online: Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement.

Bhandari, Mohit / Fobi, M A L / Buchwald, Jane N

2019 Volume 29, Issue Suppl 4, Page(s) 309–345

Abstract: Background: Standardization of the key measurements of a procedure's finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic ... ...

Abstract	Background: Standardization of the key measurements of a procedure's finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods: A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure's key anatomic alterations. Consensus was defined as ≥ 70% agreement. Results: The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22-24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters' slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions: Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.
MeSH term(s)	Bariatric Medicine/organization & administration ; Bariatric Medicine/standards ; Bariatric Surgery/standards ; Consensus ; Humans
Language	English
Publishing date	2019-07-12
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-019-04032-x
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Article: Surgical treatment of obesity: a review.

Fobi, M A L

Journal of the National Medical Association

2004 Volume 96, Issue 1, Page(s) 61–75

Abstract: Obesity is a chronic disease due to excess fat storage, a genetic predisposition, and strong environmental contributions. This problem is worldwide, and the incidence is increasing daily. There are medical, physical, social, economic, and psychological ... ...

Abstract	Obesity is a chronic disease due to excess fat storage, a genetic predisposition, and strong environmental contributions. This problem is worldwide, and the incidence is increasing daily. There are medical, physical, social, economic, and psychological comorbid conditions associated with obesity. There is no cure for obesity except possibly prevention. Nonsurgical treatment has been inadequate in providing sustained weight loss. Currently, surgery offers the only viable treatment option with longterm weight loss and maintenance for the morbidly obese. Surgeries for weight loss are called bariatric surgeries. There is no one operation that is effective for all patients. Gastric bypass operations are the most common operations currently used. Because there are inherent complications from surgeries, bariatric surgeries should be performed in a multidisciplinary setting. The laparoscopic approach is being used by some surgeons in performing the various operations. The success rate--usually defined as >50% excess weight loss that is maintained for at least five years from bariatric surgery--ranges from 40% in the simple to >70% in the complex operations. The weight loss from surgical treatment results in significant improvements and, in some cases, complete resolution of comorbid conditions associated with obesity. Patients undergoing surgery for obesity need lifelong nutritional supplements and medical monitoring.
MeSH term(s)	Biliopancreatic Diversion/methods ; Decision Making ; Gastric Bypass/methods ; Humans ; Jejunoileal Bypass/methods ; Laparoscopy ; Obesity, Morbid/surgery
Language	English
Publishing date	2004-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	419737-9
ISSN	0027-9684
ISSN	0027-9684
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Article ; Online: The IFSO Worldwide One Anastomosis Gastric Bypass Survey: Techniques and Outcomes?

Haddad, Ashraf / Bashir, Ahmad / Fobi, Mathias / Higa, Kelvin / Herrera, Miguel F / Torres, Antonio J / Himpens, Jacques / Shikora, Scott / Ramos, Almino Cardoso / Kow, Lilian / Nimeri, Abdelrahman Ali

Obesity surgery

2021 Volume 31, Issue 4, Page(s) 1411–1421

Abstract: Introduction: One anastomosis gastric bypass (OAGB) has become one of the most commonly performed gastric bypass procedures in some countries.: Objectives: To assess how surgeons viewed the OAGB, perceptions, indications, techniques, and outcomes, as ...

Abstract	Introduction: One anastomosis gastric bypass (OAGB) has become one of the most commonly performed gastric bypass procedures in some countries. Objectives: To assess how surgeons viewed the OAGB, perceptions, indications, techniques, and outcomes, as well as the incidence of short- and long-term complications and how they were managed worldwide. Methods: A questionnaire was sent to all IFSO members in all 5 chapters to study the pattern of practice and outcomes of OAGB. Results: Seven hundred and forty-two surgeons responded. The most commonly performed procedures were sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and OAGB. Preoperatively, 70% of the surgeons performed endoscopy routinely. In regards to weight loss, 83% (570 surgeons) responded that OAGB produces better weight loss than SG, and 49% (342 surgeons) responded that OAGB produces better weight loss than RYGB. The most common length of the biliopancreatic limb (BPL) utilized was 200 cm. Sixty-seven percent of surgeons did not measure the total length of the small bowel. In patients with reflux disease and history of smoking, 53% and 22% of surgeons respectively still offered OAGB as a treatment option. Postoperatively, leak was documented in 963 patients, and it was the leading cause for mortality. Leak management was conservative in 35%. Conversion to RYGB was performed in 31%. In 16% the anastomosis was reinforced, 6% of the patients were reversed, and other procedures were performed in 12%. Revision of OAGB for malnutrition/steatorrhea or severe bile reflux was reported at least once by 37% and 45% of surgeons, respectively (200 cm was the most commonly encountered biliopancreatic limb BPL in those revised for malnutrition). Most common strategy for revision was conversion to RYGB (43%), reversal to normal anatomy (32%), shortening of the BPL (20%), and conversion to SG (5%). Nevertheless, 5 out of 98 mortalities (5%) were due to liver failure/malnutrition. Conclusion: There are infrequent but potentially severe specific complications including malnutrition, liver failure, and bile reflux that may require surgical correction after OAGB.
MeSH term(s)	Bile Reflux ; Gastrectomy ; Gastric Bypass ; Humans ; Obesity, Morbid/surgery ; Weight Loss
Language	English
Publishing date	2021-01-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-021-05249-5
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Article ; Online: Metabolic and Bariatric Surgery in Patients with Obesity Class V (BMI > 60 kg/m

Ponce de Leon-Ballesteros, Guillermo / Pouwels, Sjaak / Romero-Velez, Gustavo / Aminian, Ali / Angrisani, Luigi / Bhandari, Mohit / Brown, Wendy / Copaescu, Catalin / De Luca, Maurizio / Fobi, Mathias / Ghanem, Omar M / Hasenberg, Till / Herrera, Miguel F / Herrera-Kok, Johnn H / Himpens, Jacques / Kow, Lilian / Kroh, Matthew / Kurian, Marina / Musella, Mario /

Obesity surgery

2024 Volume 34, Issue 3, Page(s) 790–813

Abstract: ... weight loss in patients with Obesity Class V (BMI > 60 kg/m: Methods: A total of 36 recognized opinion ...

Abstract	Background: Metabolic and bariatric surgery (MBS) is the preferred method to achieve significant weight loss in patients with Obesity Class V (BMI > 60 kg/m Methods: A total of 36 recognized opinion-makers and highly experienced metabolic and bariatric surgeons participated in the present Delphi consensus. 81 statements on preoperative management, selection of the procedure, perioperative management, weight loss parameters, follow-up, and metabolic outcomes were voted on in two rounds. A consensus was considered reached when an agreement of ≥ 70% of experts' votes was achieved. Results: A total of 54 out of 81 statements reached consensus. Remarkably, more than 90% of the experts agreed that patients should be notified of the greater risk of complications, the possibility of modifications to the surgical procedure, and the early start of chemical thromboprophylaxis. Regarding the choice of the procedure, SADI-S, RYGB, and OAGB were the top 3 preferred operations. However, no consensus was reached on the limb length in these operations. Conclusion: This study represents the first attempt to reach consensus on the choice of procedures as well as perioperative management in patients with obesity class V. Although overall consensus was reached in different areas, more research is needed to better serve this high-risk population.
MeSH term(s)	Humans ; Obesity, Morbid/surgery ; Delphi Technique ; Anticoagulants ; Body Mass Index ; Venous Thromboembolism ; Obesity/complications ; Obesity/surgery ; Bariatric Surgery/methods ; Weight Loss
Chemical Substances	Anticoagulants
Language	English
Publishing date	2024-01-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-023-06990-9
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Article: Complications after bariatric surgery: A multicentric study of 11,568 patients from Indian bariatric surgery outcomes reporting group.

Goel, Ramen / Nasta, Amrit Manik / Goel, Madhu / Prasad, Arun / Jammu, Gurvinder / Fobi, Mathias / Ismail, Mohamed / Raj, Praveen / Palaniappan, Raj / Aggarwal, Sandeep / Bindal, Vivek / Katakwar, Abhishek / Vennapusa, Amar / Bhasker, Aparna Govil / Peters, Atul / Goel, Deep / Bedi, Digvijay / Palep, Jaydeep / Kona, Lakshmi /

Mehrotra, Magan / Baijal, Manish / Bhandari, Mohit / Dukkipati, Nandakishore / Wadhawan, Randeep / Baig, Sarfaraz / Pattanshetti, Satish / Ugale, Surendra

Journal of minimal access surgery

2020 Volume 17, Issue 2, Page(s) 213–220

Abstract: Background: Complications after bariatric surgery are not uncommon occurrences that influence the choice of operations both by patients and by surgeons. Complications may be classified as intra-operative, early (<30 days post-operatively) or late ( ... ...

Abstract	Background: Complications after bariatric surgery are not uncommon occurrences that influence the choice of operations both by patients and by surgeons. Complications may be classified as intra-operative, early (<30 days post-operatively) or late (beyond 30 days). The prevalence of complications is influenced by the sample size, surgeon's experience and length and percentage of follow-up. There are no multicentric reports of post-bariatric complications from India. Objectives: To examine the various complications after different bariatric operations that currently performed in India. Materials and methods: A scientific committee designed a questionnaire to examine the post-bariatric surgery complications during a fixed time period in India. Data requested included demographic data, co-morbidities, type of procedure, complications, investigations and management of complications. This questionnaire was sent to all centres where bariatric surgery is performed in India. Data collected were reviewed, were analysed and are presented. Results: Twenty-four centres responded with a report on 11,568 bariatric procedures. These included 4776 (41.3%) sleeve gastrectomy (SG), 3187 (27.5%) one anastomosis gastric bypass (OAGB), 2993 (25.9%) Roux-en-Y gastric bypass (RYGB) and 612 (5.3%) other procedures. Total reported complications were 363 (3.13%). Post-operative bleeding (0.75%) and nutritional deficiency (0.75%) were the two most common complications. Leaks (P = 0.009) and gastro-oesophageal reflux disease (P = 0.019) were significantly higher in SG, marginal ulcers in OAGB (P = 0.000), intestinal obstruction in RYGB (P = 0.001) and nutritional complications in other procedures (P = 0.000). Overall, the percentage of complications was higher in 'other' procedures (6.05%, P = 0.000). There were 18 (0.16%) reported mortalities. Conclusions: The post-bariatric composite complication rate from the 24 participating centres in this study from India is at par with the published data. Aggressive post-bariatric follow-up is required to improve nutritional outcomes.
Language	English
Publishing date	2020-09-22
Publishing country	India
Document type	Journal Article
ZDB-ID	2186884-0
ISSN	1998-3921 ; 0972-9941
ISSN (online)	1998-3921
ISSN	0972-9941
DOI	10.4103/jmas.JMAS_12_20
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Article ; Online: The First Modified Delphi Consensus Statement for Resuming Bariatric and Metabolic Surgery in the COVID-19 Times.

Pouwels, Sjaak / Omar, Islam / Aggarwal, Sandeep / Aminian, Ali / Angrisani, Luigi / Balibrea, Jose María / Bhandari, Mohit / Biter, L Ulas / Blackstone, Robin P / Carbajo, Miguel A / Copaescu, Catalin A / Dargent, Jerome / Elfawal, Mohamed Hayssam / Fobi, Mathias A / Greve, Jan-Willem / Hazebroek, Eric J / Herrera, Miguel F / Himpens, Jacques M / Hussain, Farah A /

Kassir, Radwan / Kerrigan, David / Khaitan, Manish / Kow, Lilian / Kristinsson, Jon / Kurian, Marina / Lutfi, Rami Edward / Moore, Rachel L / Noel, Patrick / Ozmen, Mahir M / Ponce, Jaime / Prager, Gerhard / Purkayastha, Sanjay / Rafols, Juan Pujol / Ramos, Almino C / Ribeiro, Rui J S / Sakran, Nasser / Salminen, Paulina / Shabbir, Asim / Shikora, Scott A / Singhal, Rishi / Small, Peter K / Taylor, Craig J / Torres, Antonio J / Vaz, Carlos / Yashkov, Yury / Mahawar, Kamal

Obesity surgery

2020 Volume 31, Issue 1, Page(s) 451–456

Abstract: The purpose of this study was to achieve consensus amongst a global panel of expert bariatric surgeons on various aspects of resuming Bariatric and Metabolic Surgery (BMS) during the Coronavirus Disease-2019 (COVID-19) pandemic. A modified Delphi ... ...

Abstract	The purpose of this study was to achieve consensus amongst a global panel of expert bariatric surgeons on various aspects of resuming Bariatric and Metabolic Surgery (BMS) during the Coronavirus Disease-2019 (COVID-19) pandemic. A modified Delphi consensus-building protocol was used to build consensus amongst 44 globally recognised bariatric surgeons. The experts were asked to either agree or disagree with 111 statements they collectively proposed over two separate rounds. An agreement amongst ≥ 70.0% of experts was construed as consensus as per the predetermined methodology. We present here 38 of our key recommendations. This first global consensus statement on the resumption of BMS can provide a framework for multidisciplinary BMS teams planning to resume local services as well as guide future research in this area.
MeSH term(s)	Bariatric Surgery ; COVID-19 ; Consensus ; Delphi Technique ; Humans ; Obesity, Morbid/surgery ; Pandemics ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-08-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-020-04883-9
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Article ; Online: Managing the Fight against Onchocerciasis in Africa: APOC Experience.

Fobi, Grace / Yameogo, Laurent / Noma, Mounkaila / Aholou, Yaovi / Koroma, Joseph B / Zouré, Honorat M / Ukety, Tony / Lusamba-Dikassa, Paul-Samson / Mwikisa, Chris / Boakye, Daniel A / Roungou, Jean-Baptist

PLoS neglected tropical diseases

2015 Volume 9, Issue 5, Page(s) e0003542

Language	English
Publishing date	2015-05-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2429704-5
ISSN	1935-2735 ; 1935-2735
ISSN (online)	1935-2735
ISSN	1935-2735
DOI	10.1371/journal.pntd.0003542
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Article: Programme africain de lutte contre l'onchocercose (APOC): transmission d'Onchocerca volvulus par Simulium damnosum s. l. dans deux régions de la République Centrafricaine.

Enyong, P / Traoré, S / Louango, E / Fobi, G / Noma, M / Yaméogo, L / Kayembé, D / Sékétéli, A

Parasite (Paris, France)

2006 Volume 13, Issue 1, Page(s) 35–44

Abstract: Entomological baseline data were collected in the villages of Zinga and Boali-Falls in Central African Republic (CAR) in view of the long term impact assessment of community-directed treatment with ivermectin (CDTI). Morphological determinations revealed ...

Title translation	African Program for Onchocerciasis Control (APOC): Onchocerca volvulus transmission by Simulium damnosum s. l. in two regions of the Central African Republic.
Abstract	Entomological baseline data were collected in the villages of Zinga and Boali-Falls in Central African Republic (CAR) in view of the long term impact assessment of community-directed treatment with ivermectin (CDTI). Morphological determinations revealed that flies caught in both sites belong to the sub-group Sou/Sq. In Boali, the nuisance was relatively high with biting rates averaging 243 bites/man/day, with a parous rate of 61.6% and a crude annual transmission potential (ATP) of 8,259 infective larvae/man/year; and the average number of infective larvae per 1,000 parous flies was 177. In Zinga, the mean biting rate was 191 bites/man/day, with a parous rate of 51.6%, a crude ATP of 3,422, and 86 infective larvae per 1,000 porous flies. In conclusion, the vectorial capacity and the entomological indices recorded are characteristic of high onchocerciasis transmission zones. However, some of the infective larvae found, maybe of animal origin, need identification to better determine the real level of endemicity.
MeSH term(s)	Animals ; Bites and Stings/epidemiology ; Central African Republic ; Endemic Diseases ; Female ; Humans ; Insect Control/methods ; Insect Vectors/parasitology ; Insecticides ; Ivermectin ; Male ; Onchocerca volvulus ; Onchocerciasis/prevention & control ; Onchocerciasis/transmission ; Population Surveillance ; Seasons ; Simuliidae/parasitology
Chemical Substances	Insecticides ; Ivermectin (70288-86-7)
Language	French
Publishing date	2006-03
Publishing country	France
Document type	English Abstract ; Journal Article
ZDB-ID	1187629-3
ISSN	1776-1042 ; 1252-607X
ISSN (online)	1776-1042
ISSN	1252-607X
DOI	10.1051/parasite/2006131035
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Article ; Online: Concurrence of dermatological and ophthalmological morbidity in onchocerciasis.

Coffeng, L E / Fobi, G / Ozoh, G / Bissek, A C / Nlatté, B O / Enyong, P / Olinga, J M Olinga / Zouré, H G M / Habbema, J D F / Stolk, W A / de Vlas, S J / Boussinesq, M / Noma, M

Transactions of the Royal Society of Tropical Medicine and Hygiene

2012 Volume 106, Issue 4, Page(s) 243–251

Abstract: Prevalence of skin and eye disorders in African onchocerciasis (river blindness) is well documented. However, less is known about their joint occurrence. Information on concurrence may improve our understanding of disease pathogenesis and is required to ... ...

Abstract	Prevalence of skin and eye disorders in African onchocerciasis (river blindness) is well documented. However, less is known about their joint occurrence. Information on concurrence may improve our understanding of disease pathogenesis and is required to estimate the disease burden of onchocerciasis. We analysed data from 765 individuals from forest villages in the Kumba and Ngambe Health districts, Cameroon. These data were collected in 1998, as baseline data for the evaluation of the African Programme for Onchocerciasis Control. Concurrence of symptoms was assessed using logistic regression. Onchocerciasis was highly endemic in the study population (63% nodule prevalence among males aged ≥20). Considerable overall prevalences of onchocercal visual impairment (low vision or blindness: 4%), troublesome itch (15%), reactive skin disease (19%), and skin depigmentation (25%) were observed. The association between onchocercal visual impairment and skin depigmentation (OR 9.0, 95% CI 3.9-20.8) was partly explained by age and exposure to infection (OR 3.0, 95% CI 1.2-7.7). The association between troublesome itch and reactive skin disease was hardly affected by adjustment (adjusted OR 6.9, 95% CI 4.2-11.1). Concluding, there is significant concurrence of morbidities within onchocerciasis. Our results suggest a possible role of host characteristics in the pathogenesis of depigmentation and visual impairment. Further, we propose a method to deal with concurrence when estimating the burden of disease.
MeSH term(s)	Adolescent ; Adult ; Age Distribution ; Aged ; Animals ; Antiparasitic Agents/therapeutic use ; Cameroon/epidemiology ; Child ; Coinfection ; Female ; Humans ; Ivermectin/therapeutic use ; Male ; Middle Aged ; Onchocerca/pathogenicity ; Onchocerciasis/drug therapy ; Onchocerciasis/epidemiology ; Onchocerciasis/immunology ; Onchocerciasis, Ocular/drug therapy ; Onchocerciasis, Ocular/epidemiology ; Onchocerciasis, Ocular/immunology ; Prevalence ; Quality of Life ; Simuliidae ; Young Adult
Chemical Substances	Antiparasitic Agents ; Ivermectin (70288-86-7)
Language	English
Publishing date	2012-04
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	441375-1
ISSN	1878-3503 ; 0035-9203
ISSN (online)	1878-3503
ISSN	0035-9203
DOI	10.1016/j.trstmh.2011.12.006
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Article ; Online: The First Modified Delphi Consensus Statement for Resuming Bariatric and Metabolic Surgery in the COVID-19 Times

Pouwels, Sjaak / Omar, Islam / Aggarwal, Sandeep / Aminian, Ali / Angrisani, Luigi / Balibrea, Jose María / Bhandari, Mohit / Biter, L. Ulas / Blackstone, Robin P. / Carbajo, Miguel A. / Copaescu, Catalin A. / Dargent, Jerome / Elfawal, Mohamed Hayssam / Fobi, Mathias A. / Greve, Jan-Willem / Hazebroek, Eric J. / Herrera, Miguel F. / Himpens, Jacques M. / Hussain, Farah A. /

Kassir, Radwan / Kerrigan, David / Khaitan, Manish / Kow, Lilian / Kristinsson, Jon / Kurian, Marina / Lutfi, Rami Edward / Moore, Rachel L. / Noel, Patrick / Ozmen, Mahir M. / Ponce, Jaime / Prager, Gerhard / Purkayastha, Sanjay / Rafols, Juan Pujol / Ramos, Almino C. / Ribeiro, Rui J. S. / Sakran, Nasser / Salminen, Paulina / Shabbir, Asim / Shikora, Scott A. / Singhal, Rishi / Small, Peter K. / Taylor, Craig J. / Torres, Antonio J. / Vaz, Carlos / Yashkov, Yury / Mahawar, Kamal

Obesity Surgery ; ISSN 0960-8923 1708-0428

2020

Keywords	Surgery ; Nutrition and Dietetics ; Endocrinology, Diabetes and Metabolism ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
DOI	10.1007/s11695-020-04883-9
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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