Outcome of three common bariatric procedures in the public sector

Clough, Amy; Hamill, Daniel; Jackson, Shane R.; Remilton, Michael; Eyre, Rosemarie; Callahan, Rosie

doi:10.1111/ans.13585

Cited by 9 publications

(15 citation statements)

References 30 publications

(50 reference statements)

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“…After subgroup analysis, we found a complication rate of 4.39 %, 4.04 % and 3.83 % for RYGB, SG and MGB/OAGB respectively. These data are consistent with those reported in other countries and support the safety of the operations under scrutiny [7][8][9][10][11][12]. The array of complications reported was extremely wide.…”

Section: Discussionsupporting

confidence: 90%

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Luca¹

2017

Arch Surg Clin Res

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Background: To date, the scientifi c community has mainly focused on outcomes of obesity surgery such as weight loss and resolution of associated complications. Adverse post-operative events and reoperation rates have been poorly reported even if they are a marker of surgical safety and therefore of great importance in guiding patients and surgeons in the choice of the more suitable operation. Methods:This retrospective multicenter observational study is based on the data extracted from the Italian Society of Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database, which covers almost all the bariatric operations performed in Italy. We analysed the 30 days post-operative complications occurring, in the period from 2009 to 2015, after Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy (SG) and Mini Gastric Bypass/One Anastomosis Gastric Bypass (MGB/OAGB) qualitatively, quantitatively and on the basis of the Clavien-Dindo classifi cation of surgical complications. Complications following surgeries were tested using the 95% confi dence interval. Statistical analysis was performed with Statistical Analysis System (SAS). Results:In the 2009-2015 time frame, a total of 31,624 operations were performed of which 6,864 RYGB, 10,833 SG and 992 MGB/OAGB. The complication rate was 4.39 %, 4.04 % and 3.83% respectively. The most frequent complications were hemoperitoneum (0.9%) and perforation, fi stula and dehiscence (1%) which were higher in SG when compared with RYGB (with a statistical signifi cance) and when compared with MGB/OAGB (without a statistical signifi cance). When dividing the complications by the different grades of the ClavienDindo classifi cation, the only signifi cant difference encountered, from a statistical standpoint, was between MGB/OAGB and SG. MGB/OAGB was associated with a lower grade I Clavien-Dindo complication rate (1.31% versus 2.34%). Conclusions:This study supports a safe profi le of obesity surgey in Italy, along with positive bariatric outcomes. The rate of 30 days post-operative complications is progressively lower after MGB/OAGB (3.83%), SG (4.04%) and RYGB (4.39%) respectively. In particular, MGB/OAGB records statistically less low-grade Clavien-Dindo complications compared to SG and RYGB.

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Section: Discussionsupporting

confidence: 90%

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Luca¹

2017

Arch Surg Clin Res

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“…Waiting times : could amount to years in BS [ 47 ]. In Singapore, surgery waiting time in public hospitals is longer than in private hospitals; patients at private hospitals receive no Ministry of Health subsidies, but have swift appointments/short waiting time for BS [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Brazil, BS increased exponentially, due to high demand of the obesity epidemic affecting Brazil and the world [ 100 , 101 ]. In Australia, BS increased fivefold (2003–2008) [ 47 ]. In Ontario, Canada, BS showed 858% change (2006–2007 vs 2012–2013) p. 25 [ 102 ].…”

Section: Resultsmentioning

confidence: 99%

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

Ansari

El-Ansari

2020

Annals of Medicine and Surgery

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Background Venous thromboembolic events (VTE) post-bariatric surgery (BS) lead to morbidity and mortality. Methods This scoping review assessed whether reported VTE post-BS could be under/over-estimated; suggested a possible number of VTE post-BS; appraised whether VTE are likely to decrease/increase; examined BS as risk/protective factor for VTE; and mapped the gaps, proposing potential solutions. Results VTE appears under-estimated due to: identification/coding of BS and VTE; reporting of exposure (BS); and reporting of outcomes (VTE). The review proposes a hypothetical calculation of VTE post-BS. VTE are unlikely to decrease soon. BS represents risk and protection for VTE. Better appreciation of VTE-BS relationships requires longer-term strategies. Conclusion VTE are underestimated. Actions are required for understanding the VTE-BS relationships to in order to crease VTE by better-informed prevention strategy/ies.

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“…Therefore, bariatric operations are performed more often [14]. The most commonly performed bariatric procedures are laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) [15, 16]. …”

Section: Introductionmentioning

confidence: 99%

The knowledge of Polish primary care physicians about bariatric surgery.

Major¹,

Stefura²,

Jezierska-Kazberuk³

et al. 2016

Videosurgery and Other Miniinvasive Techniques

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IntroductionThe general practitioner (GP) can play a key role in this multi-disciplinary team, coordinating care provided by dietitians and surgeons, maximizing the potential benefits of surgery. Therefore, it seems important to verify changes in GPs’ knowledge about surgical treatment of obesity.AimTo reassess knowledge of obesity surgical treatment among Polish primary care physicians and their willingness to improve it in the future.Material and methodsTo assess the knowledge of Polish primary care physicians about surgical treatment of obesity, a prospective study, which included an anonymous online questionnaire, was conducted in the years 2015–2016.ResultsTwo hundred and six physicians answered the invitation. One hundred and sixty-six (81.8%) respondents were familiar with the indications for bariatric operation. The great majority of respondents, 198 (96.6%), were aware that bariatric surgery is efficient in the treatment of the metabolic syndrome. The study revealed a disproportion between the number of patients who would be potential candidates for bariatric treatment, who are currently under care of participating physicians, and the number of patients who are referred to a bariatric surgeon.ConclusionsOur study demonstrates that nowadays bariatric surgery is a recognized method of treatment, but physicians remain reluctant to refer their patients for surgical treatment of obesity. It was found that there is a large disproportion between the number of patients who are referred to a bariatric surgeon and the number of patients who require this treatment. It may be a result of lack of knowledge in the field of bariatric surgery.

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Outcome of three common bariatric procedures in the public sector

Cited by 9 publications

References 30 publications

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

The knowledge of Polish primary care physicians about bariatric surgery.

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