A National, Multicenter, Survey-based Analysis of Clinical Practice and Utilization of Bougie in Metabolic and Bariatric Surgery.

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2025-06-09 DOI:10.1097/SLE.0000000000001385

Jinshan Zhang, Youna Lin, Zhiyong Dong, Cunchuan Wang, Weixin Huang, Zhong Cheng, Zefeng Xia, Yingxu Li, Zhuoqi Wei, Wah Yang

{"title":"A National, Multicenter, Survey-based Analysis of Clinical Practice and Utilization of Bougie in Metabolic and Bariatric Surgery.","authors":"Jinshan Zhang, Youna Lin, Zhiyong Dong, Cunchuan Wang, Weixin Huang, Zhong Cheng, Zefeng Xia, Yingxu Li, Zhuoqi Wei, Wah Yang","doi":"10.1097/SLE.0000000000001385","DOIUrl":null,"url":null,"abstract":"Background: Bougie is critical for achieving the optimal sleeve size or pouch creation in metabolic and bariatric surgery (MBS). This study investigates the clinical application and challenges of specialized bougie in MBS within China, aims to identify targeted solutions, and seeks to guide clinical practice.Methods: A survey questionnaire, developed in collaboration with MBS experts through a webinar, was distributed online to MBS centers across China from March 9 to 15, 2023. Statistical analysis was used to evaluate the survey responses.Results: The survey collected 183 valid responses from 28 provinces, including autonomous regions and municipalities. Of these, 86.34% of centers reported using specialized bougie for MBS, with 79.23% using it frequently. Among those frequently using bougie, 40.51% reused bougie postdisinfection due to the high costs of new bougies. The most common bougie sizes used were 36Fr for laparoscopic sleeve gastrectomy and laparoscopic gastric bypass, with other sizes ranging from 30Fr to 38Fr. However, 41.53% of centers reported complications related to bougie use, with tension rupture and esophageal injury being the most frequent.Conclusions: This nationwide survey offers insights into the clinical application and challenges of specialized bougie in Chinese MBS centers. There is a need for enhanced education, standardization, and training to mitigate complications and improve patient outcomes.","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SLE.0000000000001385","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Bougie is critical for achieving the optimal sleeve size or pouch creation in metabolic and bariatric surgery (MBS). This study investigates the clinical application and challenges of specialized bougie in MBS within China, aims to identify targeted solutions, and seeks to guide clinical practice.

Methods: A survey questionnaire, developed in collaboration with MBS experts through a webinar, was distributed online to MBS centers across China from March 9 to 15, 2023. Statistical analysis was used to evaluate the survey responses.

Results: The survey collected 183 valid responses from 28 provinces, including autonomous regions and municipalities. Of these, 86.34% of centers reported using specialized bougie for MBS, with 79.23% using it frequently. Among those frequently using bougie, 40.51% reused bougie postdisinfection due to the high costs of new bougies. The most common bougie sizes used were 36Fr for laparoscopic sleeve gastrectomy and laparoscopic gastric bypass, with other sizes ranging from 30Fr to 38Fr. However, 41.53% of centers reported complications related to bougie use, with tension rupture and esophageal injury being the most frequent.

Conclusions: This nationwide survey offers insights into the clinical application and challenges of specialized bougie in Chinese MBS centers. There is a need for enhanced education, standardization, and training to mitigate complications and improve patient outcomes.

查看原文本刊更多论文

全国性、多中心、基于调查的Bougie在代谢和减肥手术中的临床实践和应用分析。

背景：在代谢和减肥手术（MBS）中，Bougie对于实现最佳袖尺寸或袋的形成至关重要。本研究旨在探讨中国MBS专业bougie的临床应用和面临的挑战，旨在找到有针对性的解决方案，并寻求指导临床实践。方法：通过网络研讨会，与MBS专家合作开发了一份调查问卷，于2023年3月9日至15日在中国各地的MBS中心在线分发。对调查结果进行统计分析。结果：本次调查共收集了来自28个省（自治区、直辖市）的183份有效问卷。其中，86.34%的中心报告使用了专门的MBS诊断工具，79.23%的中心经常使用。在经常使用塑料袋的人群中，40.51%的人在消毒后重复使用塑料袋，原因是新塑料袋的成本较高。腹腔镜袖式胃切除术和腹腔镜胃旁路手术中最常用的大胃囊尺寸为36Fr，其他尺寸为30Fr - 38Fr。然而，41.53%的中心报告了与使用支架相关的并发症，其中张力破裂和食管损伤是最常见的。结论：这项全国性的调查提供了对中国MBS中心专业bougie的临床应用和挑战的见解。有必要加强教育、标准化和培训，以减轻并发症和改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.