Zhang Jinshan, Lin Youna, Dong Zhiyong, Wang Cunchuan, Huang Weixin, Cheng Zhong, Xia Zefeng, Li Yingxu, Wei Zhuoqi, Yang Wah
Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China.
Surgical Outpatient Department, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China.
Surg Laparosc Endosc Percutan Tech. 2025 Aug 1;35(4):e1385. doi: 10.1097/SLE.0000000000001385.
Bougie is critical for achieving the optimal sleeve size or pouch creation in metabolic and bariatric surgery (MBS). This study investigates the clinical application and challenges of specialized bougie in MBS within China, aims to identify targeted solutions, and seeks to guide clinical practice.
A survey questionnaire, developed in collaboration with MBS experts through a webinar, was distributed online to MBS centers across China from March 9 to 15, 2023. Statistical analysis was used to evaluate the survey responses.
The survey collected 183 valid responses from 28 provinces, including autonomous regions and municipalities. Of these, 86.34% of centers reported using specialized bougie for MBS, with 79.23% using it frequently. Among those frequently using bougie, 40.51% reused bougie postdisinfection due to the high costs of new bougies. The most common bougie sizes used were 36Fr for laparoscopic sleeve gastrectomy and laparoscopic gastric bypass, with other sizes ranging from 30Fr to 38Fr. However, 41.53% of centers reported complications related to bougie use, with tension rupture and esophageal injury being the most frequent.
This nationwide survey offers insights into the clinical application and challenges of specialized bougie in Chinese MBS centers. There is a need for enhanced education, standardization, and training to mitigate complications and improve patient outcomes.
探条对于在代谢和减重手术（MBS）中实现最佳袖状胃大小或胃囊创建至关重要。本研究调查了专用探条在中国MBS中的临床应用及挑战，旨在确定针对性解决方案，并寻求指导临床实践。
通过网络研讨会与MBS专家合作制定的调查问卷，于2023年3月9日至15日在线分发给中国各地的MBS中心。采用统计分析来评估调查回复。
该调查共收集到来自28个省（包括自治区和直辖市）的183份有效回复。其中，86.34%的中心报告在MBS中使用专用探条，79.23%的中心经常使用。在经常使用探条的中心中，40.51%因新探条成本高而在消毒后重复使用。腹腔镜袖状胃切除术和腹腔镜胃旁路手术最常用的探条尺寸为36Fr，其他尺寸范围为30Fr至38Fr。然而，41.53%的中心报告了与探条使用相关的并发症，其中张力性破裂和食管损伤最为常见。
这项全国性调查深入了解了专用探条在中国MBS中心的临床应用及挑战。需要加强教育、标准化和培训，以减少并发症并改善患者预后。
