How long before a metabolic bariatric surgery (MBS) should nicotine products be stopped?

The recommendation to stop nicotine products 6-8 weeks prior to metabolic bariatric surgery is rooted in the understanding of how nicotine affects surgical outcomes and healing processes. Nicotine can impair blood flow, leading to increased complications during and after surgery, such as poor wound healing, respiratory issues, and heightened risk of infection. By stopping nicotine use 6-8 weeks in advance, patients allow sufficient time for their bodies to clear the nicotine, thereby improving their overall physiological status and increasing the likelihood of a successful surgical outcome.

Furthermore, this timeframe allows healthcare providers to assess the patient's commitment to quitting, which is beneficial not just for surgical preparation but also in fostering a long-term lifestyle change. While a shorter cessation period may still confer some benefits, the 6-8 week window is ideal for maximizing recovery and minimizing risks associated with nicotine use surrounding the surgery. This aligns with guidelines from various surgical and medical associations advising on preoperative preparations for patients undergoing bariatric interventions.