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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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

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;

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

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

Sundbom, Magnus (författare): Uppsala universitet,Gastrointestinalkirurgi,Uppsala University, Department of Surgical Sciences, Uppsala, Sweden

Ottosson, Johan, 1957- (författare): Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery,Örebro Univ Hosp, Dept Surg, Örebro, Sweden.

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.
Ingår i: Annals of Surgery. - : LIPPINCOTT WILLIAMS & WILKINS. - 0003-4932 .- 1528-1140. ; 272:2, s. 326-333

Relaterad länk:: https://urn.kb.se/re...; visa fler...; https://doi.org/10.1...; https://urn.kb.se/re...; visa färre...

Tidskriftsartikel (refereegranskat)

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

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Av författaren/redakt...: Poelemeijer, You ...; Liem, Ronald S. ...; Vage, Villy; Mala, Tom; Sundbom, Magnus; Ottosson, Johan, ...; visa fler...; Nienhuijs, Simon ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Gastroenterologi

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Av lärosätet: Uppsala universitet; Örebro universitet

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