Gastrointestinal endoscopy · 2025
Establishing standards of practice for endoscopic sleeve gastroplasty: a global expert consensus using a modified Delphi method.
СтатьяConsensus StatementНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jirapinyo Pichamol, Advani Rashmi, Al-Sabban Abdulhameed, McGowan Christopher, Sharaiha Reem, Alqahtani Aayed, Larsen Michael, Laster Janese, Maselli Daniel, Singh Shailendra, Thompson Christopher C
Аннотация
BACKGROUND AND AIMS: Endoscopic sleeve gastroplasty (ESG) is a minimally invasive treatment for obesity with established efficacy and safety. However, procedural techniques vary. In this study, our aim was to develop a standardized ESG approach.
METHODS: A modified Delphi method was used to define key ESG steps. Global ESG experts (≥300 procedures) participated in 3 survey rounds. Items with ≥70% agreement were included, and those with <70% consensus were discussed. Only items with unanimous final agreement were retained.
RESULTS: Six experts participated. The final list of key ESG steps included 27 statements: 6 on cognitive skills (100% consensus) and 21 on technical skills (all with high consensus). The latter covered diagnostic endoscopy and presuturing steps (97%), fundamental suturing steps (100%), and suture patterns (97%). Key procedural elements with the highest consensus included starting at the incisura, using at least 6 sutures, and avoiding the fundus.
CONCLUSIONS: This expert consensus provides step-by-step guidance for safe and effective performance of ESG.
METHODS: A modified Delphi method was used to define key ESG steps. Global ESG experts (≥300 procedures) participated in 3 survey rounds. Items with ≥70% agreement were included, and those with <70% consensus were discussed. Only items with unanimous final agreement were retained.
RESULTS: Six experts participated. The final list of key ESG steps included 27 statements: 6 on cognitive skills (100% consensus) and 21 on technical skills (all with high consensus). The latter covered diagnostic endoscopy and presuturing steps (97%), fundamental suturing steps (100%), and suture patterns (97%). Key procedural elements with the highest consensus included starting at the incisura, using at least 6 sutures, and avoiding the fundus.
CONCLUSIONS: This expert consensus provides step-by-step guidance for safe and effective performance of ESG.