Perioperative practices concerning sleeve gastrectomy: a survey of 863 surgeons with a cumulative experience of 520,230 procedures

Adil, Tanveer, Aminian, Adil, Govil Bhaskar, Aparna, Rajan, Reynu, Corcelles, Ricard, Zerrweck, Carlos, Graham, Yitka and Mahawar, Kamal (2019) Perioperative practices concerning sleeve gastrectomy: a survey of 863 surgeons with a cumulative experience of 520,230 procedures. Obesity Surgery.

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Abstract

Background
Sleeve Gastrectomy (SG) is the most commonly performed bariatric procedure worldwide. There is currently no scientific study aimed at understanding variations in practices concerning this procedure. The aim of this study was to study the global variations in perioperative practices concerning SG.
Methods
A 37-item questionnaire-based survey was conducted to capture the perioperative practices of the global community of bariatric surgeons. Data were analysed using descriptive statistics.
Results
Response of 863 bariatric surgeons from 67 countries with a cumulative experience of 520,230 SGs were recorded. A total of 689 (80%) and 764 (89%) surgeons listed 13 absolute and relative contraindications, respectively. 65% (n = 559) surgeons perform routine preoperative endoscopy and 97% (n=835) routinely use intraoperative orogastric tube for sizing the resection. A wide variation is observed in the diameter of the tube used. 73% (n=627) surgeons start dividing the stomach at a distance of 3-5 cm from the pylorus, and 54% (n=467) routinely use staple line reinforcement. Majority (65%, n=565) of surgeons perform routine intraoperative leak test at the end of the procedure, while 25% (n=218) surgeons perform a routine contrast study in the early postoperative period. Lifelong multivitamin/mineral, iron, vitamin D, calcium, and vitamin B12 supplementation is advocated by 66%, 29%, 40%, 38% and 44% surgeons, respectively.
Conclusion
There is a considerable variation in the perioperative practices concerning SG. Data can help in identifying areas for future consensus building and more focussed studies.

Item Type: Article
Subjects: Sciences > Nursing
Divisions: Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Depositing User: Yitka Graham
Date Deposited: 05 Sep 2019 09:30
Last Modified: 05 Feb 2020 15:26
URI: http://sure.sunderland.ac.uk/id/eprint/11073
ORCID for Yitka Graham: ORCID iD orcid.org/0000-0002-6206-1461

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