Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons
Shahab Shahabi Shahmiri,
Chetan Parmar,
Wah Yang,
Panagiotis Lainas,
Sjaak Pouwels,
Amir Hossein DavarpanahJazi,
Sonja Chiappetta,
Yosuke Seki,
Islam Omar,
Ramon Vilallonga,
Radwan Kassir,
Syed Imran Abbas,
Ahmad Bashir,
Rishi Singhal,
Lilian Kow,
Mohammad Kermansaravi
Affiliations
Shahab Shahabi Shahmiri
Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Rasool-E Akram Hospital, Iran University of Medical Sciences
Chetan Parmar
Consultant Surgeon and Head of Department, Whittington Hospital
Wah Yang
Department of Metabolic and Bariatric Surgery, the First Affiliated Hospital of Jinan University
Panagiotis Lainas
Department of Surgery, Metropolitan Hospital, HEAL Academy
Sjaak Pouwels
Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital
Amir Hossein DavarpanahJazi
Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Rasool-E Akram Hospital, Iran University of Medical Sciences
Sonja Chiappetta
Obesity and Metabolic Surgery Unit
Yosuke Seki
Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube
Islam Omar
Wirral University Teaching Hospital
Ramon Vilallonga
Obesity and Metabolic Surgery Unit, Vall Hebron Campus Hospital
Radwan Kassir
Department of Digestive Surgery, CHU Félix Guyon
Syed Imran Abbas
Director Obesity & Metabolic Surgery Clinic, Iranian Hospital Dubai, UAE. CEO & Founder of GLR International
Ahmad Bashir
GBMC-Jordan Hospital
Rishi Singhal
Consultant Bariatric & Upper GI Surgeon, Birmingham Heartlands Hospital, University Hospital Birmingham, UK. Honorary Senior Lecturer, University of Birmingham, Medical Director, Healthier Weight
Lilian Kow
Flinders University South Australia
Mohammad Kermansaravi
Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Rasool-E Akram Hospital, Iran University of Medical Sciences
Abstract Background Metabolic and bariatric surgery (MBS) in patients with low body mass index patients is a topic of debate. This study aimed to address all aspects of controversies in these patients by using a worldwide survey. Methods An online 35-item questionnaire survey based on existing controversies surrounding MBS in class 1 obesity was created by 17 bariatric surgeons from 10 different countries. Responses were collected and analysed by authors. Results A total of 543 bariatric surgeons from 65 countries participated in this survey. 52.29% of participants agreed with the statement that MBS should be offered to class-1 obese patients without any obesity related comorbidities. Most of the respondents (68.43%) believed that MBS surgery should not be offered to patients under the age of 18 with class I obesity. 81.01% of respondents agreed with the statement that surgical interventions should be considered after failure of non-surgical treatments. Conclusion This survey demonstrated worldwide variations in metabolic/bariatric surgery in patients with class 1 obesity. Precise analysis of these results is useful for identifying different aspects for future research and consensus building.
