Videosurgery and Other Miniinvasive Techniques (May 2025)
Polish Expert Consensus on Metabolic and Bariatric Surgery: 2025 Update
- Piotr Major,
- Michał Orłowski,
- Piotr Małczak,
- Natalia Dowgiałło-Gornowicz,
- Artur Binda,
- Paweł Bogdański,
- Andrzej Budzyński,
- Dorota Budzyńska,
- Michał Janik,
- Paweł Jaworski,
- Krzysztof Kaseja,
- Łukasz Kaska,
- Bartosz Katkowski,
- Tomasz Koszutski,
- Grzegorz Kowalski,
- Dominika Krakowczyk,
- Andrzej Kwiatkowski,
- Paweł Lech,
- Tomasz Lewandowski,
- Wojciech Lisik,
- Wojciech Makarewicz,
- Maciej Matyja,
- Wojciech Milanowski,
- Rafał Mulek,
- Piotr Myśliwiec,
- Lucyna Ostrowska,
- Maciej Pastuszka,
- Krzysztof Paśnik,
- Michał Pędziwiatr,
- Monika Proczko-Stepaniak,
- Hady Razak Hady,
- Tomasz Rogula,
- Anna Różańska-Walędziak,
- Jerzy Sieńko,
- Jacek Sobocki,
- Michał Spychalski,
- Jacek Szeliga,
- Tomasz Szewczyk,
- Michał Szymański,
- Paweł Szymański,
- Wiesław Tarnowski,
- Maciej Walędziak,
- Mateusz Wityk,
- Mariusz Wyleżoł,
- Michał Wysocki
Affiliations
- Piotr Major
- Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland
- Michał Orłowski
- Department of General and Oncological Surgery, Ceynowa Hospital, Wejherowo, Poland
- Piotr Małczak
- Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland
- Natalia Dowgiałło-Gornowicz
- Department of General, Minimally Invasive, and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
- Artur Binda
- Department of General, Oncological and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warszawa, Poland
- Paweł Bogdański
- Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, Poznan University of Medical Sciences, Poznań, Poland
- Andrzej Budzyński
- Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Kraków, Poland
- Dorota Budzyńska
- Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Kraków, Poland
- Michał Janik
- General Surgery Department, Military Institute of Aviation Medicine, Warszawa, Poland
- Paweł Jaworski
- Department of General, Oncological and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warszawa, Poland
- Krzysztof Kaseja
- Department of General Surgery and Transplantation, University Clinical Hospital no. 2 in Szczecin, Szczecin, Poland
- Łukasz Kaska
- Center for Surgical Treatment of Obesity, Independent Public Healthcare Center of the Ministry of Interior and Administration in Gdansk, Gdańsk, Poland
- Bartosz Katkowski
- Department of General and Vascular Surgery, St. John Paul II Specialist Medical Center, Polanica Zdrój, Poland
- Tomasz Koszutski
- Department of Pediatric Surgery and Urology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
- Grzegorz Kowalski
- Department of General and Endocrine Surgery, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
- Dominika Krakowczyk
- Department of Pediatric Surgery and Urology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
- Andrzej Kwiatkowski
- Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine – National Research Institute, Warszawa, Poland
- Paweł Lech
- Department of General, Minimally Invasive, and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
- Tomasz Lewandowski
- Center of General, Bariatric and Oncological Surgery, Ełk, Poland
- Wojciech Lisik
- Department of General and Transplant Surgery, Medical Univeristy of Warsaw, Warszawa, Poland
- Wojciech Makarewicz
- Department of General Surgery with Division of Surgical Oncology, Specialist Hospital in Koscierzyna, Kościerzyna, Poland; Second Division of Radiology, Medical University of Gdansk, Gdańsk, Poland
- Maciej Matyja
- Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland
- Wojciech Milanowski
- Surgical Oncology Clinic, Maria Sklodowska-Curie National Cancer Institute, Kraków, Poland
- Rafał Mulek
- EuroMediCare Specialist Hospital and Clinic, Wrocław, Poland
- Piotr Myśliwiec
- First Department of General and Endocrine Surgery, Medical University of Bialystok, Białystok, Poland
- Lucyna Ostrowska
- Department of Dietetics and Clinical Nutrition, Medical University of Bialystok, Białystok, Poland
- Maciej Pastuszka
- Department of General and Miniinvasive Surgery, Łęczna Hospital, Łęczna, Poland
- Krzysztof Paśnik
- Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum of the Nicolaus Copernicus University, Toruń, Poland
- Michał Pędziwiatr
- Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland
- Monika Proczko-Stepaniak
- Department of General, Oncological and Transplant Surgery, University Medical Center, Medical University of Gdansk, Gdańsk, Poland
- Hady Razak Hady
- Second Clinical Department of General and Gastroenterological Surgery, Medical University of Bialystok, Białystok, Poland
- Tomasz Rogula
- DHR Health Bariatric & Metabolic Institute, Edinburg, Texas, United States
- Anna Różańska-Walędziak
- Institute of Medical Sciences of the Cardinal Stefan Wyszyński University, Warszawa, Poland
- Jerzy Sieńko
- Institute of Physical Culture Sciences, University of Szczecin, Szczecin, Poland
- Jacek Sobocki
- Department of General Surgery and Clinical Nutrition, Centre for Postgraduate Medical Education, Warszawa, Poland
- Michał Spychalski
- Department of General and Oncological Surgery, Medical University of Lodz, Łódź, Poland; Brzeziny Specialist Hospital, Brzeziny, Poland
- Jacek Szeliga
- Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum of the Nicolaus Copernicus University, Toruń, Poland
- Tomasz Szewczyk
- Department of General Surgery, Specialist Hospital in Legnica, Legnica, Poland
- Michał Szymański
- Department of General, Oncological and Transplant Surgery, University Medical Center, Medical University of Gdansk, Gdańsk, Poland
- Paweł Szymański
- Department of General and Vascular Surgery, St. John Paul II Specialist Medical Center, Polanica Zdrój, Poland
- Wiesław Tarnowski
- Department of General, Oncological and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warszawa, Poland
- Maciej Walędziak
- Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine – National Research Institute, Warszawa, Poland
- Mateusz Wityk
- Department of General and Oncological Surgery, Regional Health Centre, Lubin, Poland
- Mariusz Wyleżoł
- Department of General, Vascular, and Oncological Surgery, Medical University of Warsaw, Warszawa, Poland
- Michał Wysocki
- Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Kraków, Poland
- DOI
- https://doi.org/10.20452/wiitm.2025.17950
- Journal volume & issue
-
Vol. 20,
no. 2
pp. 125 – 143
Abstract
This document presents a comprehensive update to the Polish national recommendations on metabolic and bariatric surgery, developed by a panel of experts based on the latest clinical and scientific evidence. In light of a nearly 500% increase in the number of bariatric procedures in Poland since 2014 and significant technological advancements, it became necessary to revise national guidelines in line with international standards set by the International Federation for the Surgery of Obesity and Metabolic Disorders and the American Society for Metabolic and Bariatric Surgery. A pivotal development in Poland was the implementation of the Comprehensive Specialist Care in Bariatrics (KOS-BAR) program in 2021, which ensured more accessible and safer care for patients with severe obesity through a structured and multidisciplinary approach. The consensus covers the full scope of care: from the epidemiology of obesity, surgical eligibility criteria, and preoperative preparation, to the choice of surgical technique, postoperative care, management of complications, and revisional procedures. The document also includes guidance on pharmacological treatment as an addition or alternative to surgery, and addresses the needs of specific patient groups, such as pediatric patients, elderly individuals, women of reproductive age, and those with comorbid conditions. The aim of this update is to provide Polish patients with access to safe, effective, and evidence-based treatment for obesity, while also aligning the health care system with the growing public health challenge posed by the obesity epidemic.
Keywords
