Increased Gastrointestinal Surgical Hospital Burden After Laparoscopic Gastric Bypass for Obesity: A Nationwide 5-years Follow-up Study

Autor: Morten Bay-Nielsen, Søren Neermark, Lau Caspar Thygesen, Janne Schurmann Tolstrup, Povl Ulrik Becker, Thue Bisgaard, Jens Fromholt-Larsen
Rok vydání: 2019
Předmět:
Internal hernia
Adult
Male
medicine.medical_specialty
Denmark
Gastric Bypass
Obesity
Morbid/surgery
Rate ratio
Patient Readmission
Body Mass Index
Laparoscopy/methods
03 medical and health sciences
symbols.namesake
0302 clinical medicine
Postoperative Complications
medicine
Humans
Poisson regression
Registries
Reference group
Digestive System Surgical Procedures
business.industry
Incidence (epidemiology)
General surgery
Gastric Bypass/methods
Digestive System Surgical Procedures/statistics & numerical data
Odds ratio
Middle Aged
medicine.disease
Obesity
Obesity
Morbid
Postoperative Complications/surgery
030220 oncology & carcinogenesis
symbols
030211 gastroenterology & hepatology
Surgery
Female
Laparoscopy
Patient Readmission/statistics & numerical data
business
Body mass index
Follow-Up Studies
Zdroj: Neermark, S, Tolstrup, J S, Becker, P U, Bay-Nielsen, M, Fromholt-Larsen, J, Thygesen, L C & Bisgaard, T 2020, ' Increased Gastrointestinal Surgical Hospital Burden After Laparoscopic Gastric Bypass for Obesity : A Nationwide 5-years Follow-up Study ', Annals of Surgery, vol. 271, no. 5, pp. 891-897 . https://doi.org/10.1097/SLA.0000000000003166
ISSN: 1528-1140
DOI: 10.1097/SLA.0000000000003166
Popis: OBJECTIVE: To study long-term gastrointestinal surgical hospital burden (hospital readmissions and gastrointestinal surgical procedures) after laparoscopic gastric bypass.BACKGROUND: Little is known about gastrointestinal surgical hospital burden after laparoscopic gastric bypass.METHODS: Danish patients undergoing laparoscopic gastric bypass (BMI >35-50) from January 1, 2005 to December 31, 2013 were included (100% follow-up). The nonsurgical reference group were individuals with BMI of ≥ 30 drawn from The Danish National Health Surveys from 2005 to 2013. The primary outcome was gastrointestinal surgical hospital burden. Secondary outcome was mortality. Age, body mass index (BMI), gender, and calendar time (time of surgery and nonsurgical survey), diabetes status was adjusted for in a multivariate Poisson regression model.RESULTS: 13,582 bariatric surgical patients and 45,948 reference individuals were included with a mean follow-up time of 4.7 years (SD 2.4). The incidence rate ratio (IRR) for hospital re-re-admission was 2.17 higher in the intervention group (95% CI 2.04-2.31). Sensitivity analysis showed that patients operated before 2010 had a higher incidence for re-re-admission than after. IRR for surgical gastrointestinal procedures was 6.56 (CI 6.15-6.99) and 3.04 (CI 3.51-4.17) after 1 and 5 years for the intervention group compared with the reference group. Surgery for internal hernia was the most common abdominal procedure. The mortality odds ratio was 0.84 (CI 0.65-0.96).CONCLUSIONS: Gastrointestinal surgical hospital burden was significantly higher in the first 5 years after gastric bypass compared with a matched nonsurgical reference group of obese citizens.
Databáze: OpenAIRE
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