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International expert consensus on surgery for type 2 diabetes mellitus

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International expert consensus on surgery for type 2 diabetes mellitus. / Kermansaravi, Mohammad; Omar, Islam; Finer, Nicholas et al.
In: BMC Endocrine Disorders, Vol. 25, No. 1, 151, 01.07.2025.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Kermansaravi, M, Omar, I, Finer, N, Le Roux, C, Carbajo, MA, Sarwer, D, Busetto, L, Ponce, J, Logue, J, Parretti, HM, O'Kane, M, Shahabi, S, Khunti, K, Blakemore, AI, Stenberg, E, Abbott, S, Alqahtani, A, Aminian, A, Amr, B, Balibrea, JM, Batterham, RL, Behrens, E, Bhatt, DL, Chesworth, P, Chowbey, P, Clare, K, Neto, MG, Graham, Y, Goel, R, Hanif, W, Herrera, MF, Kasama, K, Kassir, R, Knop, FK, Kothari, SN, Kristinsson, JA, McGowan, B, McKechnie, A, Miller, K, Miras, AD, Morton, J, Ogden, J, Peterli, R, Pinkney, JH, Pournaras, D, Pouwels, S, Prager, G, Salminen, P, Serlie, MJ, Shabbir, A, Singhal, R, Taheri, S, Tahrani, AA, Weiner, R, Shikora, SA & Mahawar, K 2025, 'International expert consensus on surgery for type 2 diabetes mellitus', BMC Endocrine Disorders, vol. 25, no. 1, 151. https://doi.org/10.1186/s12902-025-01961-w

APA

Kermansaravi, M., Omar, I., Finer, N., Le Roux, C., Carbajo, M. A., Sarwer, D., Busetto, L., Ponce, J., Logue, J., Parretti, H. M., O'Kane, M., Shahabi, S., Khunti, K., Blakemore, A. I., Stenberg, E., Abbott, S., Alqahtani, A., Aminian, A., Amr, B., ... Mahawar, K. (2025). International expert consensus on surgery for type 2 diabetes mellitus. BMC Endocrine Disorders, 25(1), Article 151. https://doi.org/10.1186/s12902-025-01961-w

Vancouver

Kermansaravi M, Omar I, Finer N, Le Roux C, Carbajo MA, Sarwer D et al. International expert consensus on surgery for type 2 diabetes mellitus. BMC Endocrine Disorders. 2025 Jul 1;25(1):151. doi: 10.1186/s12902-025-01961-w

Author

Kermansaravi, Mohammad ; Omar, Islam ; Finer, Nicholas et al. / International expert consensus on surgery for type 2 diabetes mellitus. In: BMC Endocrine Disorders. 2025 ; Vol. 25, No. 1.

Bibtex

@article{4bc29672fc484b07b5c7439ce5671b21,
title = "International expert consensus on surgery for type 2 diabetes mellitus",
abstract = "INTRODUCTION: Metabolic and bariatric surgery (MBS) has been an established treatment option for patients with Type 2 diabetes mellitus (T2DM), but there is a relative paucity of evidence-based guidelines on preoperative, operative, and postoperative considerations concerning metabolic surgery for T2DM patients. To address this gap, we initiated a Delphi consensus process with a diverse group of international multidisciplinary experts.METHOD: We embarked on a Delphi consensus-building exercise to propose an evidence-based expert consensus covering various aspects of MBS in patients with T2DM. We defined the scope of the exercise and proposed statements and surveyed the literature through electronic databases. The literature summary and voting process were conducted by 52 experts, who evaluated 44 statements. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria.RESULTS: Consensus, defined as > 80% agreement, was reached for 43 out of 44 statements. The experts reached an agreement on the nature, terminology, and mechanisms of action of MBS. The currently available scores for predicting remission of T2DM after surgery are not robust enough for routine clinical use, and there is a need for further research to enable more personalized treatment. Additionally, they agreed that metabolic surgery for T2DM is cost-effective, and MBS procedures for treating T2DM vary in their safety and efficacy.CONCLUSION: This Delphi expert consensus statement guides clinicians on various aspects of metabolic surgery for T2DM and also grades the quality of the available evidence for each of the proposed statements.",
keywords = "Metabolic Surgery, Bariatric Surgery - methods, Bariatric Surgery, Type 2 diabetes mellitus, Practice Guidelines as Topic - standards, Consensus, Delphi Technique, Diabetes Mellitus, Type 2 - surgery, Humans",
author = "Mohammad Kermansaravi and Islam Omar and Nicholas Finer and {Le Roux}, Carel and Carbajo, {Miguel A} and David Sarwer and Luca Busetto and Jaime Ponce and Jennifer Logue and Parretti, {Helen M} and Mary O'Kane and Shahab Shahabi and Kamlesh Khunti and Blakemore, {Alexandra I} and Erik Stenberg and Sally Abbott and Aayed Alqahtani and Ali Aminian and Bassem Amr and Balibrea, {Jose M} and Batterham, {Rachel L} and Estuardo Behrens and Bhatt, {Deepak L} and Paul Chesworth and Pradeep Chowbey and Ken Clare and Neto, {Manoel Galvao} and Yitka Graham and Ramen Goel and Wasim Hanif and Herrera, {Miguel F} and Kazunori Kasama and Radwan Kassir and Knop, {Filip K} and Kothari, {Shanu N} and Kristinsson, {Jon A} and Barbara McGowan and Andrew McKechnie and Karl Miller and Miras, {Alex D} and John Morton and Jane Ogden and Ralph Peterli and Pinkney, {Jonathan H} and Dimitri Pournaras and Sjaak Pouwels and Gerhard Prager and Paulina Salminen and Serlie, {Mireille J} and Asim Shabbir and Rishi Singhal and Shahrad Taheri and Tahrani, {Abd A} and Rudolf Weiner and Shikora, {Scott A} and Kamal Mahawar",
year = "2025",
month = jul,
day = "1",
doi = "10.1186/s12902-025-01961-w",
language = "English",
volume = "25",
journal = "BMC Endocrine Disorders",
issn = "1472-6823",
publisher = "BioMed Central",
number = "1",

}

RIS

TY - JOUR

T1 - International expert consensus on surgery for type 2 diabetes mellitus

AU - Kermansaravi, Mohammad

AU - Omar, Islam

AU - Finer, Nicholas

AU - Le Roux, Carel

AU - Carbajo, Miguel A

AU - Sarwer, David

AU - Busetto, Luca

AU - Ponce, Jaime

AU - Logue, Jennifer

AU - Parretti, Helen M

AU - O'Kane, Mary

AU - Shahabi, Shahab

AU - Khunti, Kamlesh

AU - Blakemore, Alexandra I

AU - Stenberg, Erik

AU - Abbott, Sally

AU - Alqahtani, Aayed

AU - Aminian, Ali

AU - Amr, Bassem

AU - Balibrea, Jose M

AU - Batterham, Rachel L

AU - Behrens, Estuardo

AU - Bhatt, Deepak L

AU - Chesworth, Paul

AU - Chowbey, Pradeep

AU - Clare, Ken

AU - Neto, Manoel Galvao

AU - Graham, Yitka

AU - Goel, Ramen

AU - Hanif, Wasim

AU - Herrera, Miguel F

AU - Kasama, Kazunori

AU - Kassir, Radwan

AU - Knop, Filip K

AU - Kothari, Shanu N

AU - Kristinsson, Jon A

AU - McGowan, Barbara

AU - McKechnie, Andrew

AU - Miller, Karl

AU - Miras, Alex D

AU - Morton, John

AU - Ogden, Jane

AU - Peterli, Ralph

AU - Pinkney, Jonathan H

AU - Pournaras, Dimitri

AU - Pouwels, Sjaak

AU - Prager, Gerhard

AU - Salminen, Paulina

AU - Serlie, Mireille J

AU - Shabbir, Asim

AU - Singhal, Rishi

AU - Taheri, Shahrad

AU - Tahrani, Abd A

AU - Weiner, Rudolf

AU - Shikora, Scott A

AU - Mahawar, Kamal

PY - 2025/7/1

Y1 - 2025/7/1

N2 - INTRODUCTION: Metabolic and bariatric surgery (MBS) has been an established treatment option for patients with Type 2 diabetes mellitus (T2DM), but there is a relative paucity of evidence-based guidelines on preoperative, operative, and postoperative considerations concerning metabolic surgery for T2DM patients. To address this gap, we initiated a Delphi consensus process with a diverse group of international multidisciplinary experts.METHOD: We embarked on a Delphi consensus-building exercise to propose an evidence-based expert consensus covering various aspects of MBS in patients with T2DM. We defined the scope of the exercise and proposed statements and surveyed the literature through electronic databases. The literature summary and voting process were conducted by 52 experts, who evaluated 44 statements. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria.RESULTS: Consensus, defined as > 80% agreement, was reached for 43 out of 44 statements. The experts reached an agreement on the nature, terminology, and mechanisms of action of MBS. The currently available scores for predicting remission of T2DM after surgery are not robust enough for routine clinical use, and there is a need for further research to enable more personalized treatment. Additionally, they agreed that metabolic surgery for T2DM is cost-effective, and MBS procedures for treating T2DM vary in their safety and efficacy.CONCLUSION: This Delphi expert consensus statement guides clinicians on various aspects of metabolic surgery for T2DM and also grades the quality of the available evidence for each of the proposed statements.

AB - INTRODUCTION: Metabolic and bariatric surgery (MBS) has been an established treatment option for patients with Type 2 diabetes mellitus (T2DM), but there is a relative paucity of evidence-based guidelines on preoperative, operative, and postoperative considerations concerning metabolic surgery for T2DM patients. To address this gap, we initiated a Delphi consensus process with a diverse group of international multidisciplinary experts.METHOD: We embarked on a Delphi consensus-building exercise to propose an evidence-based expert consensus covering various aspects of MBS in patients with T2DM. We defined the scope of the exercise and proposed statements and surveyed the literature through electronic databases. The literature summary and voting process were conducted by 52 experts, who evaluated 44 statements. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria.RESULTS: Consensus, defined as > 80% agreement, was reached for 43 out of 44 statements. The experts reached an agreement on the nature, terminology, and mechanisms of action of MBS. The currently available scores for predicting remission of T2DM after surgery are not robust enough for routine clinical use, and there is a need for further research to enable more personalized treatment. Additionally, they agreed that metabolic surgery for T2DM is cost-effective, and MBS procedures for treating T2DM vary in their safety and efficacy.CONCLUSION: This Delphi expert consensus statement guides clinicians on various aspects of metabolic surgery for T2DM and also grades the quality of the available evidence for each of the proposed statements.

KW - Metabolic Surgery

KW - Bariatric Surgery - methods

KW - Bariatric Surgery

KW - Type 2 diabetes mellitus

KW - Practice Guidelines as Topic - standards

KW - Consensus

KW - Delphi Technique

KW - Diabetes Mellitus, Type 2 - surgery

KW - Humans

U2 - 10.1186/s12902-025-01961-w

DO - 10.1186/s12902-025-01961-w

M3 - Journal article

C2 - 40598146

VL - 25

JO - BMC Endocrine Disorders

JF - BMC Endocrine Disorders

SN - 1472-6823

IS - 1

M1 - 151

ER -