Public Health Department "Federico II" University of Naples, Naples, Italy.
Gastrointestinal Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Obes Surg. 2021 May;31(5):1937-1948. doi: 10.1007/s11695-020-05207-7. Epub 2021 Jan 12.
The 2018 IFSO Survey focused on similarities and disparities in the number and types of surgical and endoluminal interventions among the IFSO chapters occurred in the last decade.
All IFSO Societies were asked to fill in the IFSO survey form on how many and which surgical and endoluminal interventions have been performed in the 2018. A special section was added, asking about the existence of national guidelines for bariatric and metabolic surgery, national recommendations for preoperative gastroscopy, type of reimbursement for bariatric/metabolic surgery, including for patients with BMI < 35 kg/m. The trend analyses from 2008 to 2018 were also performed.
Fifty-seven/65 (87.7%) IFSO Societies submitted completed forms. The American Society for Metabolic and Bariatric Surgery did not fill the IFSO survey form but provided an official report on the performed interventions. The total number of surgical and endoluminal procedures performed in 2018 in the world was 696,191. Sleeve gastrectomy (SG) remained the most commonly performed bariatric procedure (N = 386,096; 55.4%). Among the total reported bariatric/metabolic interventions, 604,223 (86.8%) were primary surgical and 29,167 (4.2%) primary endoluminal operations; 62,801 (9%) were revisional procedures.
There was only a slight increase (10.317 procedures) in the total number of the reported bariatric interventions compared to the last IFSO survey. SG continues to be the most commonly performed operation since 2014. The one anastomosis gastric bypass (OAGB), currently the third most performed procedure after SG and Roux-en-Y gastric bypass (RYGB), continues to rise in popularity worldwide.
2018 年 IFSO 调查侧重于 IFSO 分会在过去十年中进行的外科和内镜介入手术数量和类型的相似性和差异性。
要求所有 IFSO 学会填写 IFSO 调查表格，说明在 2018 年进行了多少种外科和内镜介入手术。还添加了一个专门的部分，询问是否存在肥胖和代谢手术的国家指南、术前胃镜检查的国家建议、肥胖/代谢手术的报销类型，包括 BMI<35kg/m 的患者。还对 2008 年至 2018 年的趋势进行了分析。
57/65（87.7%）个 IFSO 学会提交了完整的表格。美国代谢和减重外科学会没有填写 IFSO 调查表格，但提供了一份关于已开展干预措施的官方报告。2018 年全球开展的外科和内镜手术总数为 696191 例。袖状胃切除术（SG）仍然是最常见的减重手术（N=386096；55.4%）。在报告的所有减重/代谢干预措施中，604223 例（86.8%）为原发性外科手术，29167 例（4.2%）为原发性内镜手术；62801 例（9%）为翻修手术。
与上一次 IFSO 调查相比，报告的减重干预总数仅略有增加（10317 例）。自 2014 年以来，SG 一直是最常见的手术。单吻合口胃旁路术（OAGB），目前是继 SG 和 Roux-en-Y 胃旁路术（RYGB）之后第三大手术，在全球范围内的受欢迎程度持续上升。
