DELTO Study: Delphi Consensus on Long-Term Textbook Outcome After Metabolic Bariatric Surgery.

Background: This study aimed to create a comprehensive Core Outcome Set (COS) for assessing the long-term outcome (≥ 5 years) after Metabolic Bariatric Surgery (MBS), through the use of the Delphi method.

Methods: The study utilized a three-phase approach. In Phase 1, a long list of items was identified through a literature review and expert input, forming the basis for an online Delphi survey.

[A newborn with a limited elbow function].

A 14-week-old infant with an abnormal pronated position of the right arm was referred to the surgeon by the pediatrician. On physical examination, pro- and supination of the forearm was limited. Conventional radiography of the elbow showed a bony fusion of the proximal radius and ulna, a radioulnar synostosis.