American Society of Metabolic and Bariatric Surgery consensus statement on laparoscopic adjustable gastric band management |
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| Institution: | 1. Department of Surgery, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota;2. Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania;3. Department of Psychiatry, New York University Grossman School of Medicine, New York, New York;4. Advanced Surgical Partners of Virginia, Richmond, Virginia;5. Department of Surgery, Division of Minimally Invasive Bariatric and General Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;6. Massachusetts General Hospital Weight Center, Boston, Massachusetts;7. New York University Langone Medical Center, Division of Bariatric Surgery and Weight Management, New York, New York;1. Department of Obesity and MIS Surgery, New You Medical Center, Riyadh, Saudi Arabia;2. Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia |
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| Abstract: | BackgroundLaparoscopic adjustable gastric band (LAGB) management continues to be an important part of many metabolic and bariatric surgery practices.ObjectivesTo replace the existing American Society for Metabolic and Bariatric Surgery (ASMBS) LAGB adjustment credentialing guidelines for physician extenders with consensus statements that reflect the current state of LAGB management.SettingASMBS Integrated Health Clinical Issues Committee.MethodsA modified Delphi process using a 2-stage consensus approach was conducted on LAGB management. Thirty-four consensus statements were developed following a literature search on a wide range of LAGB topics. A 5-point Likert scale was implemented to measure consensus agreement with a Delphi panel of 39 expert participants who were invited and agreed to participate in 2 rounds of Delphi questionnaires. Consensus was set a priori at 75% agreement, defined as the proportion of participants responding with agreement (i.e., 4 or 5) or disagreement (i.e., 1 or 2) on the Likert scale.ResultsConsensus was reached on 74% (25 of 34) of the LAGB management statements. In Delphi round 1, 95% (37 of 39) of the participants responded to 34 consensus statements; 21 of the statements (62%) met the 75% criteria for consensus. Thirty-one participants (80%) responded in round 2, shifting the agreement on 4 more statements to the 75% threshold.ConclusionThe ASMBS consensus statement on LAGB management is intended to guide practice with current evidence-based knowledge and professional experience. The ASMBS is not a credentialing body and does not seek to guide credentialing with this document. |
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| Keywords: | Adjustable gastric band Bariatric surgery Weight loss surgery Postoperative care |
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