Studie zur Qualitätskontrolle der operativen Therapie der Adipositas – Ergebnisse der Jahre 2005 und 2006
| Autor: | H. Köhler, Kaja Ludwig, P. Pick, Th. Manger, Rudolf A. Weiner, Uwe Schmidt, B. Herbig, Dieter Birk, L. Schäfer, Th. Horbach, R. Flade-Kuthe, S. Krause, S. Wolff, A. M. Wolf, M. Frenken, S. Höhne, Christine Stroh |
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| Rok vydání: | 2008 |
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| Zdroj: | Zentralblatt für Chirurgie. 133:473-478 |
| ISSN: | 1438-9592 0044-409X |
| Popis: | BACKGROUND: Since January 1 st 2005, the situation of bariatric surgery in Germany has been examined. The data are registered in cooperation with the Institute of Quality Assurance in Surgery at the Otto-von-Guericke-University Magdeburg. METHODS: The data registration took place prospectively in an internet online data base. All primary bariatric procedures performed since January 1 st 2005 were detected as well as re-operations in patients who had been operated before. RESULTS: 629 patients underwent bariatric surgery in 21 hospitals in 2005 and 828 patients were operated in 32 hospitals in 2006. The mostly performed operation was gastric banding with 46.8 %, followed by Roux-Y gastric bypass with 38.5 %. 74.4 % of the patients were female. The medium BMI of all patients was 48.5 kg / m 2 in 2005 and 48.4 kg / m 2 in 2006. Follow-up data were available for 71.2 % of the patients operated in 2005. These data show a higher reduction of BMI after malabsorptive than after restrictive bariatric procedures. CONCLUSION: A trend from restrictive bariatric procedures to a malabsorptive approach could be observed. In Germany the BMI of patients undergoing bariatric surgery is higher than in most countries world-wide. No differences could be detected in intraoperative and short-term complications as well in the complication rate in the first year of follow-up in comparison with the literature. |
| Databáze: | OpenAIRE |
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