Evolution of Bariatric Surgery in Italy in the Last 11 Years: Data from the SICOB Yearly National Survey

Paolo Gentileschi, Bruno Sensi, Leandro Siragusa, Roberto Sorge, Eliana Rispoli, Luigi Angrisani, Elisa Galfrascoli, Emanuela Bianciardi, Maria Paola Giusti, Maurizio De Luca, Marianna De Luca, Marco Antonio Zappa, Claudio Arcudi, Alessandro Balani, Rosario Bellini, Roberto Bellini, Domenico Benavoli, Giovanna Berardi, Giulia Berardi, Giovanni CasellaNicola Basso, Maria Rosaria Cerbone, Nicola Di Lorenzo, Enrico Facchiano, Mirto Foletto, Pietro Forestieri, Diego Foschi, Ilenia Grandone, Marcello Lucchese, Emilio Manno, Mario Musella, Giuseppe Navarra, Stefano Olmi, Luigi Piazza, Vincenzo Pilone, Marco Raffaelli, Giuliano Sarro, Alberto Zaccaroni

Research output: Contribution to journalArticle

Abstract

Background: Bariatric surgery (BS) is a relatively novel surgical field and is in continuous expansion and evolution. Purpose: Aim of this study was to report changes in Italian surgical practice in the last decade. Methods: The Società Italiana di Chirurgia dell’Obesità (SICOB) conducted annual surveys to cense activity of SICOB centers between 2011 and 2021. Primary outcome was to detect differences in frequency of performance of adjustable gastric banding (AGB), sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), one anastomosis gastric bypass (OAGB), bilio-pancreatic diversion (BPD), and gastric plication (GP). Secondary outcome was to detect differences in performance of main non-malabsorptive procedures (AGB + SG) and overall bypass procedures (RYGB + OAGB). Geographical differences were also investigated. Results: Median response rate was 92%. AGB declined from 36% of procedures in 2011 to 5% in 2021 (p < 0.0001). SG increased from 30% in 2011 to 55% in 2021 (p < 0.0001). RYGB declined from 25 to 12% of procedures (p < 0.0001). OAGB rose from 0% of procedures in 2011 to 15% in 2021 (p < 0.0001). BPD underwent decrease from 6.2 to 0.2% in 2011 and 2021, respectively (p < 0.0001). Main non-malabsorptive procedures significantly decreased while overall bypass procedures remained stable. There were significant differences among regions in performance of SG, RYGB, and OAGB. Conclusions: BS in Italy evolved significantly during the past 10 years. AGB underwent a decline, as did BPD and GP which are disappearing and RYGB which is giving way to OAGB. The latter is rising and is the second most-performed procedure after SG which has been confirmed as the preferred procedure by Italian bariatric surgeons. Graphical Abstract: [Figure not available: see fulltext.]
Original languageEnglish
Pages (from-to)930-937
Number of pages8
JournalObesity Surgery
Volume33
DOIs
Publication statusPublished - 2023

Keywords

  • Bariatric surgery
  • OAGB
  • Sleeve gastrectomy
  • RYGB
  • Obesity

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