Janik Michał R, Sroczyński Przemysław, Major Piotr
General Surgery Department, Military Institute of Aviation Medicine, Warszawa, Poland.
Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
Wideochir Inne Tech Maloinwazyjne. 2024 Nov 19;19(3):454-459. doi: 10.20452/wiitm.2024.17913. eCollection 2024 Dec 27.
Bariatric surgery is an effective treatment for obesity and metabolic disorders. In Poland, the growing prevalence of obesity has led to an increase in the demand for these procedures. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most frequently performed surgeries, while newer techniques, such as single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), single-anastomosis sleeve ileal bypass (SASI), and Nissen sleeve gastrectomy (N-SG) are emerging. The Comprehensive Specialist Care in Bariatrics (KOS-BAR) program, introduced in 2021, aims to standardize bariatric care in Poland.
This study evaluates the state of bariatric surgery in Poland in 2023, focusing on procedure volumes, regional variations, and the role of KOS-BAR centers.
A nationwide survey was conducted among bariatric surgery centers affiliated with the Metabolic and Bariatric Surgery Chapter of the Association of Polish Surgeons. Data on the number and types of surgeries performed in 2023 were collected and compared with previous reports to analyze trends.
A total of 54 centers, including 18 KOS-BAR centers, participated in the survey, reporting a total of 9102 procedures performed in 2023. SG accounted for 82% of surgeries, followed by RYGB (9.7%) and one anastomosis gastric bypass (3.9%). Newer procedures, such as N-SG (0.4%), SASI (0.8%), and SADI-S (0.2%) were less frequently performed. Over a half of all surgeries (59.3%) were performed in KOS-BAR centers. Significant regional variations in procedure volumes were observed.
Bariatric surgery in Poland has seen substantial growth, with SG as the dominant procedure. However, regional disparities in access to care and the limited adoption of newer techniques persist. Expanding services to underserved regions and establishing a national registry are crucial for improving patient care and outcomes.
减肥手术是治疗肥胖症和代谢紊乱的有效方法。在波兰，肥胖症患病率的不断上升导致对这些手术的需求增加。袖状胃切除术（SG）和Roux-en-Y胃旁路术（RYGB）是最常进行的手术，而诸如袖状胃切除术联合单吻合十二指肠-回肠旁路术（SADI-S）、单吻合袖状回肠旁路术（SASI）和nissen袖状胃切除术（N-SG）等新技术正在兴起。2021年推出的肥胖症综合专科护理（KOS-BAR）计划旨在规范波兰的肥胖症护理。
本研究评估2023年波兰减肥手术的状况，重点关注手术量、地区差异以及KOS-BAR中心的作用。
对波兰外科医生协会代谢与减肥外科学分会下属的减肥手术中心进行了一项全国性调查。收集了2023年进行的手术数量和类型的数据，并与之前的报告进行比较以分析趋势。
共有54个中心参与了调查，其中包括18个KOS-BAR中心，报告2023年共进行了9102例手术。SG占手术的82%，其次是RYGB（9.7%）和单吻合胃旁路术（3.9%）。诸如N-SG（0.4%）、SASI（0.8%）和SADI-S（0.2%）等新技术的手术实施频率较低。超过一半的手术（59.3%）在KOS-BAR中心进行。观察到手术量存在显著的地区差异。
波兰的减肥手术有了显著增长，SG是主要手术方式。然而，在获得护理方面的地区差异以及新技术采用有限的情况仍然存在。向服务不足地区扩大服务并建立国家登记册对于改善患者护理和治疗效果至关重要。
