Klinika Chirurgii Ogólnej, Onkologicznej, Metabolicznej i Torakochirurgii Wojskowego Instytutu Medycznego, Warszawa, Polska.
Pol Przegl Chir. 2020 May 4;92(4):12-16. doi: 10.5604/01.3001.0014.1289.
<b>Introduction:</b> Bariatric procedures are becoming more popular worldwide. We present a current situation of foreign patients treated by high-volume bariatric surgeons in Poland in 2016. <br><b>Material and Methods:</b> We sent an online survey to twenty high-volume bariatric surgeons. The questionnaire regarded the year 2016. We asked for number and types of bariatric procedures performed or supervised, number of foreign bariatric patients, their qualification process, country of origin, types of procedure, and post-op recommendations. <br><b>Results:</b> We received 9 surveys (45%). Five surgeons performed or supervised from 100 to 300 bariatric procedures, 2 performed or supervised over 300 procedures, 2 performed or supervised from 50 to 100 procedures. All of the respondents performed laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB), four carried out mini gastric bypass, two - gastric banding (LAGB), one - SADI-S and duodenal switch (DS). Six surgeons operated on the total of 64 foreign patients, mainly performing LSG, LRYGB and mini gastric bypass. Most of the patients were qualified based on international criteria [body mass index (BMI) over 40 kg/m<sup>2</sup> or BMI over 35 kg/m<sup>2</sup> with comorbidities]. United Kingdom was the most popular country of origin, followed by Germany, USA, Ireland and Sweden. Qualification for surgery was based on a personal visit. After surgery, 83.3% (n = 5) of the respondents gave out discharge documents in English, recommending long-term bariatric follow-up in the country of origin. Every respondent carried out 3-month personal follow-up of every foreign patient. <br><b>Conclusions:</b> Foreign bariatric patients travelling to Poland are qualified for surgery according to known international standards. Most of the patients receive post-op discharge documents in English, with a 3-month follow-up performed by their surgeon. Further bariatric supervision in the country of origin is routinely recommended.
<b>引言：</b>减重手术在全球范围内越来越受欢迎。我们展示了 2016 年波兰高容量减重外科医生治疗的外国患者的现状。<br><b>材料和方法：</b>我们向 20 名高容量减重外科医生发送了在线调查。问卷涉及 2016 年。我们询问了进行或监督的减重手术数量和类型、外国减重患者的数量、他们的资格审查程序、原籍国、手术类型以及术后建议。<br><b>结果：</b>我们收到了 9 份调查（45%）。5 名外科医生进行或监督了 100 至 300 例减重手术，2 名外科医生进行或监督了 300 多例手术，2 名外科医生进行或监督了 50 至 100 例手术。所有受访者均进行了腹腔镜袖状胃切除术（LSG）和腹腔镜胃旁路术（LRYGB），4 名受访者进行了迷你胃旁路术，2 名受访者进行了胃束带术（LAGB），1 名受访者进行了 SADI-S 和十二指肠转位术（DS）。6 名外科医生共对 64 名外国患者进行了手术，主要进行了 LSG、LRYGB 和迷你胃旁路术。大多数患者是根据国际标准（BMI 超过 40 kg/m^2 或 BMI 超过 35 kg/m^2 伴有合并症）合格的。英国是最受欢迎的原籍国，其次是德国、美国、爱尔兰和瑞典。手术资格是基于个人访问。手术后，83.3%（n=5）的受访者用英文开出了出院文件，建议在原籍国进行长期减重随访。每位受访者都对每位外国患者进行了 3 个月的个人随访。<br><b>结论：</b>前往波兰的外国减重患者是根据已知的国际标准获得手术资格的。大多数患者收到英文出院文件，并由其外科医生进行 3 个月的随访。常规建议在原籍国进行进一步的减重监督。
