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. 2023 Sep 9;23(1):272.
doi: 10.1186/s12893-023-02175-4.

Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Shahab Shahabi Shahmiri  1   2   3 , Chetan Parmar  4 , Wah Yang  5 , Panagiotis Lainas  6   7 , Sjaak Pouwels  8 , Amir Hossein DavarpanahJazi  1   2   3 , Sonja Chiappetta  9 , Yosuke Seki  10 , Islam Omar  11 , Ramon Vilallonga  12 , Radwan Kassir  13 , Syed Imran Abbas  14 , Ahmad Bashir  15 , Rishi Singhal  16 , Lilian Kow  17 , Mohammad Kermansaravi  18   19   20
Affiliations

Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Shahab Shahabi Shahmiri et al. BMC Surg. .

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.

Keywords: Bariatric surgery; Low BMI; Metabolic surgery; Survey.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Procedure of choice for three age categories of patients with low BMI, as reported by the participants of the survey. A. under 18 years old, B.18 to 65 years old, C. older than 65 years old. LAGB, Laparoscopic Adjustable Gastric Banding; LSG, Laparoscopic Sleeve Gastrectomy; LRYGB, Laparoscopic Roux en Y Gastric Bypass; LOAGB/MGB, Laparoscopic One Anastomosis Gastric Bypass/Mini gastric bypass; SADI-S, Single anastomosis duodeno-ileostomy with sleeve gastrectomy; BPL-DS, Biliopancreatic diversion with duodenal switch; EGD, endoscopic sleeve gastroplasty
See this image and copyright information in PMC

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