Close menu


Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

The first modified Delphi consensus statement on Sleeve Gastrectomy

Mahawar, Kamal, Islam, Omar, Singhal, Rishi, Aggrawal, Sandeep, Allouch, Mustafa, Alsabah, Salman, Angrisani, Luigi, Badiuddin, Faruq, Balibrea, Jose Maria, Bashir,, Ahmad, Behrens, Estuardo, Bhatia, Kiron, Biertho, Laurent, Biter, L Ulas, Dargent, Jerome, De Luca, Maurizio, DeMaria, Eric, Elfawal, Mohammed Hayssam, Fried, Martin, Gawdat, Khaled, Graham, Yitka, Herrera, Miguel, Himpen, Jacques, Husain, Farah, Kasama, Kazunori, Kerrigan, David, Kow, Lilian, Kristinsson, Jon, Kurian, Marina, Liem, Ronald, Lutfi, Rami, Menon, Vinod, Miller, Karl, Noel, Patrick, Ospanov, Oral, Ozmen, Mahir, Peterli, Ralph, Ponce, Jaime, Prager, Gerhard, Prasad, Arun, Raj, Praveen, Rodriguez, Nelson, Rosenthal, Raul, Sakran, Nasser, Santos, Jorge Nunes, Shabbir, Asim, Shikora, Scott, Small, Peter, Taylor, Craig, Wang, Cuchuan, Weiner, Rudolph, Wylezol, Mariusz, Yang, Wah and Aminian, Ali (2021) The first modified Delphi consensus statement on Sleeve Gastrectomy. Obesity Surgery. ISSN 0960-8923

Item Type: Article


Introduction: Sleeve Gastrectomy (SG) is the commonest bariatric procedure worldwide. Yet, there is significant variation in practice concerning its various aspects. This paper report results from the first modified Delphi consensus-building exercise on SG.

Methods: We established a committee of 54 globally recognized opinion-makers in this field. The committee agreed to vote on several statements concerning SG. An agreement or disagreement amongst ≥ 70.0% experts was construed as a consensus.

Results: The committee achieved a consensus of agreement (n=71) or disagreement (n=7) for 78 out of 97 proposed statements after two rounds of voting. The committee agreed with 96.3% consensus that the characterization of SG as a purely restrictive procedure was inaccurate and there was 88.7% consensus that SG was NOT a suitable standalone, primary, surgical weight loss option for patients with Barrett’s Esophagus (BE) without dysplasia. There was an overwhelming consensus of 92.5% that the Sleeve should be fashioned over an orogastric tube of 36-40 Fr and a 90.7% consensus that Surgeons should stay at least 1 cm away from the angle of His. Remarkably, the committee agreed with 81.1% consensus that SG patients should undergo a screening endoscopy every 5 years after surgery to screen for BE.

Conclusion: A multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic.

[img] Microsoft Word
Manuscript SG Consensus.docx - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (44kB)

More Information

Depositing User: Yitka Graham


Item ID: 12845
Identification Number:
ISSN: 0960-8923
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD

Catalogue record

Date Deposited: 14 Dec 2020 10:02
Last Modified: 04 Dec 2021 03:38


Author: Yitka Graham ORCID iD
Author: Kamal Mahawar
Author: Omar Islam
Author: Rishi Singhal
Author: Sandeep Aggrawal
Author: Mustafa Allouch
Author: Salman Alsabah
Author: Luigi Angrisani
Author: Faruq Badiuddin
Author: Jose Maria Balibrea
Author: Ahmad Bashir,
Author: Estuardo Behrens
Author: Kiron Bhatia
Author: Laurent Biertho
Author: L Ulas Biter
Author: Jerome Dargent
Author: Maurizio De Luca
Author: Eric DeMaria
Author: Mohammed Hayssam Elfawal
Author: Martin Fried
Author: Khaled Gawdat
Author: Miguel Herrera
Author: Jacques Himpen
Author: Farah Husain
Author: Kazunori Kasama
Author: David Kerrigan
Author: Lilian Kow
Author: Jon Kristinsson
Author: Marina Kurian
Author: Ronald Liem
Author: Rami Lutfi
Author: Vinod Menon
Author: Karl Miller
Author: Patrick Noel
Author: Oral Ospanov
Author: Mahir Ozmen
Author: Ralph Peterli
Author: Jaime Ponce
Author: Gerhard Prager
Author: Arun Prasad
Author: Praveen Raj
Author: Nelson Rodriguez
Author: Raul Rosenthal
Author: Nasser Sakran
Author: Jorge Nunes Santos
Author: Asim Shabbir
Author: Scott Shikora
Author: Peter Small
Author: Craig Taylor
Author: Cuchuan Wang
Author: Rudolph Weiner
Author: Mariusz Wylezol
Author: Wah Yang
Author: Ali Aminian

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Health Sciences

Actions (login required)

View Item View Item