E-cigarette, Obesity and Bariatric Surgery: Guidelines for the Bariatric Societies

  • Chetan D ParmarEmail author
  • Lyndcie Lee
  • Pratik Sufi
Letter to the Editor

Need for This Letter

We have had patients in our bariatric pathway who have been using electronic cigarettes (e-cigarette) in the perioperative period. They justify vaping to help them reduce or quit conventional smoking. The message in the community is that it is safe to use. Currently, we could not find any recommendations to help guide our bariatric patients. Hence, we decided to review the literature.

Background and Epidemiology

E-cigarettes were first patented and launched in 2003 in China by the company Ruyan (translates resemble smoking) [1]. It is composed of heterogenous group of products which consolidates in a battery-powered device. Nicotine, heavy metals, volatile organic compounds, glycerol, propylene, ethylene glycol and ultrafine particles are delivered to the users through inhaled aerosol. These electronic nicotine delivery systems are known by different names such as e-cigs, e-hookahs, vapes, mods and tanks and come in various shapes and sizes and vary from 1st to...



electronic cigarette


Methicillin-resistant Staphylococcus aureus


The Food and Drug Administration


Author Contributions

CP conceived the idea. All authors participated in literature search. All authors contributed in manuscript writing. All authors have seen the final version and approve of it.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This type of study does not need ethical approval.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Whittington HospitalLondonUK

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