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Gastric Bypass Vers...
Gastric Bypass Versus Sleeve Gastrectomy Patient Selection and Short-term Outcome of 47,101 Primary Operations From the Swedish, Norwegian, and Dutch National Quality Registries
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- Poelemeijer, Youri Q. M. (författare)
- Sci Bur, Dutch Inst Clin Auditing, Leiden, Netherlands.;Leiden Univ, Dept Surg, Med Ctr, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands.,Dutch Institute for Clinical Auditing, Scientific Bureau, Leiden, Netherlands;
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- Liem, Ronald S. L. (författare)
- Groene Hart Hosp, Dept Surg, Gouda, Netherlands.;Dutch Obes Clin, The Hague, Netherlands.,Groene Hart Hospital, Department of Surgery, Gouda, Netherlands; Dutch Obesity Clinic, The Hague, Netherlands
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- Vage, Villy (författare)
- Scandinavian Obes Surg Registry, Bergen, Norway.,Scandinavian Obesity Surgery Registry, Bergen, Norway
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- Mala, Tom (författare)
- Oslo Univ Hosp, Dept Gastrointestinal Surg, Oslo, Norway.,Oslo University Hospital, Department of Gastrointestinal Surgery, Oslo, Norway
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- Sundbom, Magnus (författare)
- Uppsala universitet,Gastrointestinalkirurgi,Uppsala University, Department of Surgical Sciences, Uppsala, Sweden
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- Ottosson, Johan, 1957- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery,Örebro Univ Hosp, Dept Surg, Örebro, Sweden.
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- Nienhuijs, Simon W. (författare)
- Catharina Hosp, Dept Surg, Eindhoven, Netherlands.,Catharina Hospital, Department of Surgery, Eindhoven, Netherlands
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Sci Bur, Dutch Inst Clin Auditing, Leiden, Netherlands;Leiden Univ, Dept Surg, Med Ctr, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands. Dutch Institute for Clinical Auditing, Scientific Bureau, Leiden, Netherlands; (creator_code:org_t)
- LIPPINCOTT WILLIAMS & WILKINS, 2020
- 2020
- Engelska.
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Ingår i: Annals of Surgery. - : LIPPINCOTT WILLIAMS & WILKINS. - 0003-4932 .- 1528-1140. ; 272:2, s. 326-333
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Objective: The aim of this study was to compare the use and short-term outcome of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in Sweden, Norway, and the Netherlands. Background: Although bariatric surgery is performed in high volumes worldwide, no consensus exists regarding the choice of bariatric procedure for specific groups of patients. Methods: Data from 3 national registries for bariatric surgery were used. Patient selection, perioperative data (severe complications, mortality, and rate of readmissions within 30 days), and 1-year results (follow-up rate and weight loss) were studied. Results: A total of 47,101 primary operations were registered, 33,029 (70.1%) RYGB and 14,072 (29.9%) SG. Patients receiving RYGB met international guidelines for having bariatric surgery more often than those receiving SG (91.9% vs 83,0%,P< 0.001). The 2 procedures did not differ in the rate of severe complications (2.6% vs 2.4%,P= 0.382), nor 30-day mortality (0.04% vs 0.03%,P= 0.821). Readmission rates were higher after RYGB (4.3% vs 3.4%,P< 0.001). One-year post surgery, less RYGB-patients were lost-to follow-up (12.1% vs 16.5%,P< 0.001) and RYGB resulted in a higher rate of patients with total weight loss of more than 20% (95.8% vs 84.6%,P< 0.001). While the weight-loss after RYGB was similar between hospitals, there was a great variation in weight loss after SG. Conclusion: This study reflects the pragmatic use and short-term outcome of RYGB and SG in 3 countries in North-Western Europe. Both procedures were safe, with RYGB having higher weight loss and follow-up rates at the cost of a slightly higher 30-day readmission rate.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Nyckelord
- %TWL
- bariatric
- comparison
- complications
- DATO
- DICA
- Dutch
- gastrectomy
- gastric bypass
- LTFU
- Netherlands
- Norway
- Norwegian
- outcome
- outcomes
- quality
- readmission
- Roux-en-Y
- RYGB
- SG
- sleeve
- SOReg
- surgery
- Sweden
- Swedish
- total weight loss
- TWL
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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