Ramon Vilallonga1,2,3, José Manuel Moreno Villares4, Diego Yeste Fernández4, Raquel Sánchez Santos5, Felipe Casanueva Freijo6, Francisco Santolaya Ochando7, Nuria Leal Hernando8, Albert Lecube Torelló9, Luis Antonio Castaño González10, Albert Feliu9, Gontrand Lopez-Nava11, Dolores Frutos12, Felipe de la Cruz Vigo1, Antonio J Torres Garcia12, Juan Carlos Ruiz de Adana12. 1. SECO Sociedad Española de Cirugía de la Obesidad, Madrid, Spain. vilallongapuy@hotmail.com. 2. General Surgery Department, Endocrine, Metabolic and Bariatric Unit, Robotic Surgery, Universitat Autònoma de Barcelona, Universitary Hospital Vall d'Hebron, Passeig de la Vall d'Hebron, 119-129 08035, Barcelona,, Spain. vilallongapuy@hotmail.com. 3. Spanish Society for Obesity Surgery. General Secretary, Madrid, Spain. vilallongapuy@hotmail.com. 4. AEP Asociación Española de Pediatría, Madrid, Spain. 5. AEC Asociación Española de Cirugía-Sección Obesidad, Madrid, Spain. 6. SEEDO Sociedad Española para el Estudio de la Obesidad, Madrid, Spain. 7. Consejo General de Colegios Oficiales de Psicólogos, Madrid, Spain. 8. SECP Sociedad Española de Cirugía Pediátrica, Madrid, Spain. 9. SEEN Sociedad Española de Endocrinología y Nutrición, Madrid, Spain. 10. SEEP Sociedad Española de Endocrinología Pediátrica, Madrid, Spain. 11. SEPD Sociedad Española de Patología Digestiva, Madrid, Spain. 12. SECO Sociedad Española de Cirugía de la Obesidad, Madrid, Spain.
Abstract
PURPOSE: In recent years, the incidence of childhood obesity in Europe, and Spain in particular, has increased dramatically. Bariatric surgery could play a major role in treating of adolescents with severe obesity. However, no specific guidelines for bariatric surgery currently exist in Spain. METHODS: The Board of the Spanish Society for Obesity Surgery and Metabolic Diseases (SECO) proposed a study of childhood obesity by using the Delphi method. This prospective study involved 60 experts from nine national societies. Each society leader recruited experts from their society in obesity-related fields. Two online questionnaires were taken, and consensus on guidelines for various obesity treatments was reached according to the percentage of answers in favor or against inclusion of a given guideline. Based on these results, preoperative, surgical management and follow-up of childhood obesity management among others were analyzed. RESULTS: The survey results indicated significant concern among all societies regarding obesity. There was strong consensus with regard to adolescents and obesity, medical treatment, dietary recommendations, environmental and social factors, and goals for adolescents with obesity. Consensus on the use of intragastric balloons and other techniques was not reached. However, biliopancreatic diversion was rejected as a primary treatment, and mandatory psychological/psychiatric assessment was agreed upon. Inclusion criteria accepted were similar to those for adults with the exception of surgery in those with a body mass index <40. CONCLUSIONS: Spanish obesity-related societies are aware of the societal problem of childhood obesity. Multisociety development of national approaches may arise from consensus-building studies among specialists.
PURPOSE: In recent years, the incidence of childhood obesity in Europe, and Spain in particular, has increased dramatically. Bariatric surgery could play a major role in treating of adolescents with severe obesity. However, no specific guidelines for bariatric surgery currently exist in Spain. METHODS: The Board of the Spanish Society for Obesity Surgery and Metabolic Diseases (SECO) proposed a study of childhood obesity by using the Delphi method. This prospective study involved 60 experts from nine national societies. Each society leader recruited experts from their society in obesity-related fields. Two online questionnaires were taken, and consensus on guidelines for various obesity treatments was reached according to the percentage of answers in favor or against inclusion of a given guideline. Based on these results, preoperative, surgical management and follow-up of childhood obesity management among others were analyzed. RESULTS: The survey results indicated significant concern among all societies regarding obesity. There was strong consensus with regard to adolescents and obesity, medical treatment, dietary recommendations, environmental and social factors, and goals for adolescents with obesity. Consensus on the use of intragastric balloons and other techniques was not reached. However, biliopancreatic diversion was rejected as a primary treatment, and mandatory psychological/psychiatric assessment was agreed upon. Inclusion criteria accepted were similar to those for adults with the exception of surgery in those with a body mass index <40. CONCLUSIONS: Spanish obesity-related societies are aware of the societal problem of childhood obesity. Multisociety development of national approaches may arise from consensus-building studies among specialists.
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