Di Lorenzo, NicolaAntoniou, Stavros ABatterham, Rachel LBusetto, LucaGodoroja, DanielaIossa, AngeloCarrano, Francesco MAgresta, FerdinandoAlarçon, IsaiasAzran, CarmilBouvy, NicoleBalaguè Ponz, CarmenBuza, MauraCopaescu, CatalinDe Luca, MaurizioDicker, DrorDi Vincenzo, AngeloFelsenreich, Daniel MFrancis, Nader KFried, MartinGonzalo Prats, BertaGoitein, DavidHalford, Jason C GHerlesova, JitkaKalogridaki, MarinaKet, HansMorales-Conde, SalvadorPiatto, GiacomoPrager, GerhardPruijssers, SuzannePucci, AndreaRayman, ShlomiRomano, EugeniaSanchez-Cordero, SergiVilallonga, RamonSilecchia, Gianfranco2023-02-082023-02-082020-04-23http://hdl.handle.net/10668/15426Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience. EAES has sponsored an update of previous guidelines on bariatric surgery. A multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. Development and reporting conformed to GRADE guidelines and AGREE II standards. Systematic review of databases, record selection, data extraction and synthesis, evidence appraisal and evidence-to-decision frameworks were developed for 42 key questions in the domains Indication; Preoperative work-up; Perioperative management; Non-bypass, bypass and one-anastomosis procedures; Revisional surgery; Postoperative care; and Investigational procedures. A total of 36 recommendations and position statements were formed through a modified Delphi procedure. This document summarizes the latest evidence on bariatric surgery through state-of-the art guideline development, aiming to facilitate evidence-based clinical decisions.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/AGREE IIBariatric surgeryEAESGRADEGuidelinesObesityBariatric SurgeryEndoscopyEuropeHumansObesity, MorbidPractice Guidelines as TopicSocieties, Medicalresearch article32328827open access10.1007/s00464-020-07555-y1432-2218PMC7214495https://link.springer.com/content/pdf/10.1007/s00464-020-07555-y.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214495/pdf