Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N
General and Endoscopic Surgery Unit, S. Giovanni Bosco Hospital, Via Filippo Maria Briganti, 255, Naples, Italy,
Obes Surg. 2015 Oct;25(10):1822-32. doi: 10.1007/s11695-015-1657-z.
The first global survey of bariatric/metabolic surgery based on data from the nations or national groupings of the International Federation for the Surgery of Obesity and Metabolic Diseases (IFSO) was published in 1998, followed by reports in 2003, 2009, 2011, and 2012. In this survey, we report a global overview of worldwide bariatric surgery in 2013.
A questionnaire evaluating the number and the type of bariatric procedure performed in 2013 was emailed to all members of bariatric societies belonging to IFSO. Trend analyses from 2003 to 2013 were also performed.
There were 49/54 (90.7%) responders; 37 of the 49 with national registries. The total number of bariatric procedures performed worldwide in 2013 was 468,609, 95.7% carried out laparoscopically. The highest number (n = 154,276) was from the USA/Canada region. The most commonly performed procedure in the world was Roux-en-Y gastric bypass (RYGB), 45%; followed by sleeve gastrectomy (SG), 37%; and adjustable gastric banding (AGB), 10%. Most significant were the rise in prevalence of SG from 0 to 37% of the world total from 2003 to 2013, and the fall in AGB of 68% from its peak in 2008 to 2013.
SG is currently the most frequently performed procedure in the USA/Canada and in the Asia/Pacific regions, and second to RYGB in the Europe and Latin/South America regions. The accuracy of the IFSO-based world survey of procedures would be enhanced if each nation or national group would create a national registry.
基于国际肥胖与代谢病外科联合会（IFSO）各国家或国家组数据开展的首次全球肥胖症/代谢手术调查于1998年发表，随后在2003年、2009年、2011年和2012年也发布了相关报告。在本次调查中，我们报告了2013年全球肥胖症手术的总体情况。
向IFSO下属肥胖症协会的所有成员发送了一份问卷，评估2013年实施的肥胖症手术的数量和类型。还进行了2003年至2013年的趋势分析。
共有49/54（90.7%）的受访者回复；49个回复者中有37个拥有国家登记处。2013年全球实施的肥胖症手术总数为468,609例，其中95.7%为腹腔镜手术。数量最多的（n = 154,276）来自美国/加拿大地区。全球最常实施的手术是 Roux-en-Y 胃旁路术（RYGB），占45%；其次是袖状胃切除术（SG），占37%；以及可调节胃束带术（AGB），占10%。最显著的是，SG的全球占比从2003年的0%上升至2013年的37%，而AGB从2008年的峰值下降至2013年的68%。
目前，SG是美国/加拿大以及亚太地区最常实施的手术，在欧洲和拉丁/南美洲地区仅次于RYGB。如果每个国家或国家组都建立一个国家登记处，基于IFSO的全球手术调查的准确性将会提高。
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