The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

• DOI: 10.1007/s00464-021-08979-w
• Publication Date: 2022-01-21T20:00:43Z
• Authors: Mohammad Kermansa...; Panagiotis Lainas; Shahab Shahabi Sh...; Wah Yang; Amirhossein Davar...; Ramon Vilallonga; Luciano Antozzi; Chetan Parmar; Radwan Kassir; Sonja Chiappetta; Lorea Zubiaga; Antonio Vitiello; Kamal Mahawar; Miguel Carbajo; Mario Musella; Scott Shikora
• Keywords: Sleeve gastrectomy; Weight management

Bariatric surgery in patients with BMI over 50 kg/m2 is a challenging task. The aim of this study was to address main issues regarding perioperative management these by using worldwide survey.An online 48-item questionnaire-based survey on superior ideated 15 bariatric surgeons from 9 different countries. questionnaire emailed all members the International Federation Surgery for Obesity (IFSO). Responses were collected and analyzed authors.789 73 countries participated survey. Most (89.9%) believed that metabolic/bariatric (MBS) should only be performed expert surgeons. Half participants (55.3%) weight loss must encouraged before 42.6% recommended an excess at least 10%. However, 3.6% insertion Intragastric Balloon as bridge therapy surgery. Sleeve Gastrectomy (SG) considered best choice younger than 18 or older 65 years old. SG One Anastomosis Gastric Bypass most common procedures individuals between years. 2-stage approach offered > kg/m2, being first step. Postoperative thromboprophylaxis 2 4 weeks 37.8% 37.7% participants, respectively.This demonstrated variations practice kg/m2. Careful analysis results useful identifying several areas future research consensus building.