IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures
Luigi Angrisania b✉, Antonella Santonicolac, Paola Iovinoc, Antonio Vitiellob, Kouki HIGAd e, JACQUES M. HIMPENSf, Hēnry Buchwaldg, Nicola Scopinaroh
- aGeneral and Endoscopic Surgery Unit, "S. Giovanni Bosco" Hospital, Via Filippo Maria Briganti, 255, Naples, Italy. luigiangrisani@chirurgiaobesita.it
- bGeneral and Endoscopic Surgery Unit, "S. Giovanni Bosco" Hospital, Via Filippo Maria Briganti, 255, Naples, Italy
- cGastrointestinal Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy
- dAdvanced Laparoscopy Surgery Associates, Fresno Heart and Surgical Hospital, Fresno, CA, USA
- eFresno Medical Education Program, University of California, San Francisco, San Francisco, CA, USA
- fDepartment of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium
- gDepartments of Surgery and Biomedical Engineering, University of Minnesota, Minneapolis, MN, 55455, USA
- hDepartment of Surgery, University of Genoa, School of Medicine, Genoa, Italy
- ✉Corresponding author
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Abstract
Background and aim: The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), being a Federation of 62 national societies, is the ideal network to monitor the number and type of procedures at a global level. The IFSO survey, enriched with a special section on revisional procedures, aims to report the number and types of bariatric procedures performed worldwide in 2016 and analyzes the surgical trends from 2008 to 2016. Methods: The 2016 IFSO Survey form was emailed to all IFSO societies. Each Society was requested to indicate the number and type of bariatric procedures performed in the country. Trend analyses from 2008 to 2016 were also performed. Results: The total number of bariatric/metabolic procedures performed in 2016 was 685,874; 634,897 (92.6%) of which were primary and 50,977 were revisional (7.4%). Among the primary interventions, 609,897 (96%) were surgical and 25,359 (4%) were endoluminal. The most performed primary surgical bariatric/metabolic procedure was sleeve gastrectomy (SG) (N = 340,550; 53.6%), followed by Roux-en-Y gastric bypass (N = 191,326; 30.1%), and one-anastomosis gastric bypass (N = 30,563; 4.8%). Conclusions: In 2016, there was an increase in the total number both of surgical and endoluminal bariatric/metabolic procedures. Revisional procedures represent about 7% of the total bariatric interventions. SG remains the most performed surgical procedure in the world.
TL;DRThere was an increase in the total number both of surgical and endoluminal bariatric/metabolic procedures performed worldwide in 2016 and the surgical trends from 2008 to 2016. (Semantic Scholar)

