The first survey addressing patients with BMI over 50 : a survey of 789 bariatric surgeons
Kermansaravi, Mohammad (Hazrat_e Rasool Hospital (Tehran, Iran))
Lainas, Panagiotis (Metropolitan Hospital of Athens (Atenas, Grècia))
Shahmiri, shahab shahabi (Iran University of Medical Sciences (Tehran, Iran))
Yang, Wah (The First Affiliated Hospital of Jinan University ( Guangzhou, Xina))
Jazi, Amirhossein Davarpanah (Shariati Hospital (Isfahan, Iran))
Vilallonga, Ramon (Hospital Universitari Vall d'Hebron)
Antozzi, Luciano (Centro de Cirugías Especiales (Bahía Blanca, Argentina))
Parmar, Chetan (University College London Medical School (Londres, Regne Unit))
Kassir, Radwan (Centre Hospitalier Universitaire Félix Guyon (Saint-Denis, França))
Chiappetta, Sonja (Ospedale Evangelico Betania (Nàpols, Itàlia))
Zubiaga, Lorea (Universidad Miguel Hernández de Elche (Elx, País Valencià))
Vitiello, Antonio (Università degli studi di Napoli Federico II)
Mahawar, Kamal (South Tyneside and Sunderland Foundation NHS Trust (Sunderland, Regne Unit))
Carbajo, Miguel (Centre of Excellence for the Study and Treatment of Obesity and Diabetes (Valladolid, Castella i Lleó))
Musella, Mario (Università degli studi di Napoli Federico II)
Shikora, Scott (Harvard Medical School)
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Bariatric surgery in patients with BMI over 50 kg/m is a challenging task. The aim of this study was to address main issues regarding perioperative management of these patients by using a worldwide survey. An online 48-item questionnaire-based survey on perioperative management of patients with a BMI superior to 50 kg/m was ideated by 15 bariatric surgeons from 9 different countries. The questionnaire was emailed to all members of the International Federation of Surgery for Obesity (IFSO). Responses were collected and analyzed by the authors. 789 bariatric surgeons from 73 countries participated in the survey. Most surgeons (89. 9%) believed that metabolic/bariatric surgery (MBS) on patients with BMI over 50 kg/m should only be performed by expert bariatric surgeons. Half of the participants (55. 3%) believed that weight loss must be encouraged before surgery and 42. 6% of surgeons recommended an excess weight loss of at least 10%. However, only 3. 6% of surgeons recommended the insertion of an Intragastric Balloon as bridge therapy before surgery. Sleeve Gastrectomy (SG) was considered the best choice for patients younger than 18 or older than 65 years old. SG and One Anastomosis Gastric Bypass were the most common procedures for individuals between 18 and 65 years. Half of the surgeons believed that a 2-stage approach should be offered to patients with BMI.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	BMI over 50 ; Bariatric surgery ; Super obesity ; Survey
Publicat a:	Surgical endoscopy and other interventional techniques, Vol. 36 Núm. 8 (august 2022) , p. 6170-6180, ISSN 1432-2218

DOI: 10.1007/s00464-021-08979-w
PMID: 35064321

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