Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Other authors

Institut Català de la Salut

[Shahmiri SS, DavarpanahJazi AH] Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. Centre of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran. Iran National Centre of Excellence for Minimally Invasive Surgery Education, Iran University of Medical Sciences, Tehran, Iran. [Parmar C] Consultant Surgeon and Head of Department, Whittington Hospital, London, UK. [Yang W] Department of Metabolic and Bariatric Surgery, the First Afliated Hospital of Jinan University, Guangzhou, China. [Lainas P] Department of Surgery, Metropolitan Hospital, HEAL Academy, Athens, Greece. Department of Minimally Invasive Digestive Surgery, Antoine-Béclère Hospital, Paris-Saclay University, Clamart, France. [Pouwels S] Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands. [Vilallonga R] Unitat de Cirurgia Endocrina, Metabòlica i Bariàtrica, Vall d’Hebron Hospital Universitari, Barcelona, Spain

Vall d'Hebron Barcelona Hospital Campus

Publication date

2023-09-19T08:24:46Z

2023-09-19T08:24:46Z

2023-09-09



Abstract

Bariatric surgery; Metabolic surgery; Survey


Cirugía bariátrica; Cirugía metabólica; Encuesta


Cirurgia bariàtrica; Cirurgia metabòlica; Enquesta


Background Metabolic and bariatric surgery (MBS) in patients with low body mass index patients is a topic of debate. This study aimed to address all aspects of controversies in these patients by using a worldwide survey. Methods An online 35-item questionnaire survey based on existing controversies surrounding MBS in class 1 obesity was created by 17 bariatric surgeons from 10 different countries. Responses were collected and analysed by authors. Results A total of 543 bariatric surgeons from 65 countries participated in this survey. 52.29% of participants agreed with the statement that MBS should be offered to class-1 obese patients without any obesity related comorbidities. Most of the respondents (68.43%) believed that MBS surgery should not be offered to patients under the age of 18 with class I obesity. 81.01% of respondents agreed with the statement that surgical interventions should be considered after failure of non-surgical treatments. Conclusion This survey demonstrated worldwide variations in metabolic/bariatric surgery in patients with class 1 obesity. Precise analysis of these results is useful for identifying different aspects for future research and consensus building.

Document Type

Article


Published version

Language

English

Publisher

BMC

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BMC Surgery;23

https://doi.org/10.1186/s12893-023-02175-4

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Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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