Table 3 Surgical management of MBS in patients with low BMI as reported by the participants of the survey
Questions | Responses (percentage) the most reported answer was bolded | ||||||
|---|---|---|---|---|---|---|---|
Do you recommend intragastric balloon for this group? | Yes (50.83%) | No (49.17%) | Â | Â | Â | Â | Â |
Do you recommend endoscopic intervention for this group? | NO (68.61%) | Yes, Endoscopic plication (7.50%) | Yes, Endoscopic sleeve gastroplasty (22.22%) | Other (1.67%) | Â | Â | Â |
Is a reversible MBS such as RYGB/OAGB preferred to an irreversible BS such as SG in class I Obesity? | Yes (35.00%) | NO (65.00%) | Â | Â | Â | Â | Â |
Do you think MBS is cost-effective in this group? | Yes (84.72%) | NO (15.28%) | Â | Â | Â | Â | Â |
What should be the procedure of choice for adolescents with class 1 obesity (under 18 years old)? (you can choose more than one answer) | a | Â | Â | Â | Â | Â | Â |
What should be the procedure of choice for patients with class 1 obesity in 18 to 65 years old? (you can choose more than one answer)): | a | Â | Â | Â | Â | Â | Â |
What should be the procedure of choice for patients with obesity class 1 older than 65 years old? (you can choose more than one answer) | a |  |  |  |  |  |  |
What should be the alimentary limb (AL) and Bilio-Pancreatic limb (BPL) length for RYGB in this group? (you can choose more than one answer) | None of the above (8.89%) | BPL of 50cm (18.89%) | BPL of 50–100 cm (48.89%) | BPL of > 100cm (18.89%) | AL of 50cm (6.67%) | AL of 50-100cm (38.61%) | AL of > 100cm (25.83%) |
Do you think gastric pouch volume and gastrojejunostomy(GJ)size should be larger than standard to allow eat better to prevent malnutrition in this low BMI group?(you can choose more than one answer) | None of the above (11.67%) | GJ of < 30mm (29.17%) | GJ of 30-45mm (40.28%) | GJ of > 45mm (6.94%) | Pouch volume of < 30cc (10.28%) | Pouch volume of 30-50cc (45.00%) | pouch volume of > 50cc (20.28%) |
What should be the BilioPancreatic limb (BPL) length for OAGB in this group? | 100cm (14.17%) | 120cm (13.61%) | 150cm (33.89%) | 180cm (11.39%) | One third of whole small bowel length (13.33%) | Other (13.61%) | Â |
In class 1 obesity, Laparoscopic Sleeve Gastrectomy should be based on what bougie size? | 32–36 fr (21.39%) | 36–40 fr (63.61%) | 40–44 fr (10.28%) | 44–48 fr (2.22%) | Other (2.50%) |  |  |
Do you agree that for patients who have lost enough weight after their bypass surgery to reverse to normal anatomy? | Yes (11.67%) | NO (88.33%) | Â | Â | Â | Â | Â |
Is single incision surgery (SILS) suitable and safe for this patients? | Yes 41.94% | NO (58.06%) | Â | Â | Â | Â | Â |