Public Health Department - School of Medicine, "Federico II" University of Naples, Naples, Italy.
Gastrointestinal Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Obes Surg. 2024 Apr;34(4):1075-1085. doi: 10.1007/s11695-024-07118-3. Epub 2024 Mar 4.
This IFSO survey aims to describe the current trends of metabolic and bariatric surgery (MBS) reporting on the number and types of surgical and endoluminal procedures performed in 2020 and 2021, in the world and within each IFSO chapter.
All national societies belonging to IFSO were asked to complete the survey form. The number and types of procedures performed (surgical and endoluminal interventions) from 2020 to 2021 were documented. A special section focused on the impact of COVID-19, the existence of national protocols for MBS, the use of telemedicine, and any mortality related to MBS. A trend analysis of the data, both worldwide and within each IFSO chapter, was also performed for the period between 2018 and 2021.
Fifty-seven of the 74 (77%) IFSO national societies submitted the survey. Twenty-four of the 57 (42.1%) reported data from their national registries. The total number of surgical and endoluminal procedures performed in 2020 was 507,806 and in 2021 was 598,834. Sleeve gastrectomy (SG) remained the most performed bariatric procedure. Thirty national societies (52%) had regional protocols for MBS during COVID-19, 61.4% supported the use of telemedicine, and only 47.3% collected data on mortality after MBS in 2020. These percentages did not significantly change in 2021 (p > 0.05).
The number of MBS markedly decreased worldwide during 2020. Although there was a positive trend in 2021, it did not reach the values obtained before the COVID-19 pandemic. SG continued to be the most performed operation. Adjustable gastric banding (AGB) continues to decrease worldwide.
本 IFSO 调查旨在描述 2020 年和 2021 年在全球范围内以及在 IFSO 各分会中进行的代谢和减重手术（MBS）数量和类型的报告的当前趋势。
要求所有属于 IFSO 的国家协会填写调查表格。记录了 2020 年至 2021 年期间实施的手术和内镜程序的数量和类型（手术和内镜干预）。一个专门的部分侧重于 COVID-19 的影响、MBS 的国家协议的存在、远程医疗的使用以及与 MBS 相关的任何死亡率。还对 2018 年至 2021 年期间的数据进行了全球和 IFSO 各分会内的趋势分析。
74 个 IFSO 国家协会中有 57 个（77%）提交了调查。57 个中的 24 个（42.1%）报告了其国家登记处的数据。2020 年实施的手术和内镜程序总数为 507806 例，2021 年为 598834 例。袖状胃切除术（SG）仍然是最常进行的减重手术。30 个国家协会（52%）在 COVID-19 期间有 MBS 区域协议，61.4%支持使用远程医疗，只有 47.3%在 2020 年收集了 MBS 后死亡率的数据。这些百分比在 2021 年没有显著变化（p>0.05）。
2020 年全球 MBS 的数量明显减少。尽管 2021 年呈积极趋势，但仍未达到 COVID-19 大流行前的水平。SG 继续是最常进行的手术。全球范围内可调胃束带（AGB）的使用量继续减少。
