One anastomosis gastric bypass in children and adolescents: An international expert survey
Corresponding Author
Mohammad Kermansaravi
Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran
Correspondence
Mohammad Kermansaravi, Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Email: [email protected]
Sonja Chiappetta, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Sonja Chiappetta
Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy
Correspondence
Mohammad Kermansaravi, Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Email: [email protected]
Sonja Chiappetta, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
Email: [email protected]
Search for more papers by this authorMario Musella
Advanced Biomedical Sciences Department, “Federico II” University, Naples, Italy
Search for more papers by this authorMiguel Angel Carbajo
Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain
Search for more papers by this authorRadwan Kassir
Digestive and Bariatric Surgery Department, The View Hospital, Qatar
Search for more papers by this authorKhaled Gawdat
Bariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Search for more papers by this authorKuldeepak Singh Kular
Sir H N Reliance Foundation Hospital, India
Search for more papers by this authorGerhard Prager
Department of Surgery, Vienna Medical University, Vienna, Austria
Search for more papers by this authorRudolf Weiner
Bariatric Surgery Unit, Sana Clinic Offenbach, Germany
Search for more papers by this authorScott Alan Shikora
Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Search for more papers by this authorExpert Collaborative Group
Search for more papers by this authorCorresponding Author
Mohammad Kermansaravi
Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran
Correspondence
Mohammad Kermansaravi, Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Email: [email protected]
Sonja Chiappetta, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Sonja Chiappetta
Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy
Correspondence
Mohammad Kermansaravi, Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
Email: [email protected]
Sonja Chiappetta, Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
Email: [email protected]
Search for more papers by this authorMario Musella
Advanced Biomedical Sciences Department, “Federico II” University, Naples, Italy
Search for more papers by this authorMiguel Angel Carbajo
Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain
Search for more papers by this authorRadwan Kassir
Digestive and Bariatric Surgery Department, The View Hospital, Qatar
Search for more papers by this authorKhaled Gawdat
Bariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Search for more papers by this authorKuldeepak Singh Kular
Sir H N Reliance Foundation Hospital, India
Search for more papers by this authorGerhard Prager
Department of Surgery, Vienna Medical University, Vienna, Austria
Search for more papers by this authorRudolf Weiner
Bariatric Surgery Unit, Sana Clinic Offenbach, Germany
Search for more papers by this authorScott Alan Shikora
Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Search for more papers by this authorExpert Collaborative Group
Search for more papers by this authorSummary
Despite the growing popularity of one anastomosis gastric bypass (OAGB) as the third most commonly performed metabolic and bariatric surgery (MBS) procedure worldwide, concerns remain among MBS surgeons about performing OAGB in children and adolescents. This international expert survey was conducted to assess the perspectives of experts regarding the different aspects of OAGB specific to these patient groups. A total of 102 expert MBS surgeons from 41 countries were invited to participate in this survey, which took place between 24 May 2024, and 11 June 2024. The participating surgeons provided their responses through a 30-question online survey, employing a multiple-choice format. Approximately 6.85% of participants believe there should be no minimum age limit for OAGB and 26.5% of experts perform OAGB only in patients 18 years old and above. The experts define adherence to postoperative diet, patient cooperation, and managing family expectations as the main challenges encountered when performing OAGB in this population. About 92.2% of experts believe that consultation and follow-up by a paediatrician, as part of a multidisciplinary team (MDT), are essential before surgery. Also, 76.5% of experts believe that bone age should be determined in these age groups before OAGB. Despite the absence of strong evidence refuting the safety and efficacy of OAGB in children and adolescents, this survey revealed that there are still some concerns about the long-term safety and efficacy of OAGB in children and adolescents.
CONFLICT OF INTEREST STATEMENT
The authors declare no competing interests.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
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