La chirurgie de l'obésité : des recommandations en guise de consensus

These guidelines on strategies for managing obese adult patients undergoing obesity surgery have been drawn up in response to a request from the HAS Board (as a part of its strategy on obesity), the Ministry of Health (in the context of the French National Nutrition Health Programme) and the Société française et francophone de chirurgie de l’obésité (SOFFCO - French and French-speaking Society of Obesity Surgery) (which had requested guidelines on obesity surgery reoperations). Obesity surgery has developed rapidly in France over the last ten years or so and is practised by more than 310 surgical teams. Numerous French and international assessment and guideline publications have been produced in relation to it. However, a survey conducted by the National Health Insurance (CNAMTS) between December 2002 and January 2003 showed that recommended indications and preoperative assessment of patients were not sufficiently followed and that postoperative follow-up of patients was insufficient (number of patients lost to follow-up 18% after 2 years). In addition, the health professionals and patients questioned during the preparation of these guidelines underlined the following points:  the evolution of indications for surgery;  the need to formalise and standardise the procedures and content of the preoperative multidisciplinary assessment;  insufficient information provision and preparation of the patient;  insufficient follow-up of patients;  the lack of consensus on the choice of surgical techniques;  the lack of consensus on the indications for obesity surgery reoperations. ► Objectives of the guidelines The objectives of these guidelines are:  to improve the long-term efficacy of obesity surgery and reduce the incidence of complications through:  better selection, information and preparation of patients,  choice of the technique that provides the

Voir : http://www.has-sante.fr/portail/upload/docs/application/pdf/2010-11/obesity_surgery_-_guidelines.pdf

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