Advice of General Practitioner, of Surgeon, of Endocrinologist, and Self-determination: the Italian Road to Bariatric Surgery.
Antonio E PontiroliGeltrude MingroneAnnamaria ColaoLuigi BarreaGiulia CannavaleFerdinando PinnaValerio CerianiStefano Maria De CarliGiovanni CesanaStefano OlmiGloria ScolariSimonetta SarroGiuliano SarroClaudia ProcopioAlessandro GiovanelliLelio MorriconeGiancarlo MichelettoAlexis MalavazosValerio PanizzoLaura PlebaniMarco Antonio ZappaIgor TubazioDiego FoschiSilvia CapogrossiCaterina ConteAlessandro SaibeneCarlo SocciMartina GozzaSara TestaGiuseppe MarinariStefano MaccatrozzoMarina CrociEnrico MozziOrnella VerrastroEsmeralda CapristoMarco RaffaelliVincenzo BruniAndrea SoareGiuseppe SpagnoloSilvia ManfriniIda GalloGiovanni CasellaLidia Castagneto-GisseyMikiko WatanabeSimona FrontoniMassimiliano Di PaolaBenedetta RussoPatrizia BigarelliJames R Casella-MarioloFranca FilippiFrida LeonettiAlberto Di BiasioGianfranco SilecchiaValeria GuglielmiClaudio ArcudiAntonio VitielloMario MusellaRita SchianoCristiano GiardielloMichele Giuseppe IovinoMaurizio De PalmaSalvatore ToloneLudovico DocimoMichele RenzulliVincenzo PiloneMaria PoliceLuigi AngrisaniElena TagliabuePublished in: Obesity surgery (2022)
The majority of patients referred to a tertiary center for the treatment of morbid obesity have a valid indication for BS. Most patients self-refer to the centers, with a minority referred by a GP or by specialists. Self-presenting patients are younger, more educated, more professional, and more mobile than patients referred by other physicians. Older patients and with a longer duration of obesity are probably representative of the conservative approach to BS, often regarded as the last resort in an endless story.