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Bariatric Surgery and Endoluminal Procedures: IFSO Worldwide Survey 2014
L Angrisani1, A Santonicola2, P Iovino3
1General and Endoscopic Surgery Unit, S. Giovanni Bosco Hospital, Naples, Italy.
Obesity Surgery
|April 14, 2017
Summary
Sleeve gastrectomy is now the most frequent bariatric surgery worldwide, surpassing Roux-en-Y gastric bypass. This 2014 survey also highlights the growing importance of endoluminal procedures in metabolic and bariatric surgery.
Area of Science:
- Metabolic and Bariatric Surgery
- Surgical Outcomes
- Global Health Trends
Background:
- Bariatric surgery has evolved significantly over recent decades.
- Previous global surveys have tracked this evolution.
- An updated overview of 2014 procedures, including endoluminal techniques, is presented.
Purpose of the Study:
- To provide an updated overview of bariatric procedures performed globally in 2014.
- To analyze trends in bariatric surgery from 2011 to 2014.
- To specifically report on the inclusion and prevalence of endoluminal techniques.
Main Methods:
- A survey form from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) was used.
- The survey evaluated the number and types of surgical and endoluminal bariatric procedures.
- Data from IFSO societies worldwide were collected and analyzed for 2014, with trend analysis from 2011-2014.
Main Results:
- 93.3% of IFSO societies responded to the survey.
- In 2014, 579,517 surgical and 14,725 endoluminal bariatric procedures were performed.
- Sleeve gastrectomy (SG) was the most common procedure (45.9%), followed by Roux-en-Y gastric bypass (RYGB) (39.6%).
- SG increased globally, while RYGB decreased, except in Latin/South America where RYGB remained most frequent.
Conclusions:
- Bariatric/metabolic procedures increased in 2014, with sleeve gastrectomy as the leading surgery.
- This survey is the first to detail endoluminal procedures, though data accuracy needs improvement.
- National registries and continuous updates are encouraged to track emerging endoscopic procedures.
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