Wylezol M S, Zwirska-Korczala K, Pasnik K
Department of General and Bariatric Surgery, Zabrze, Medical University of Silesia, Katowice, Poland.
J Physiol Pharmacol. 2005 Dec;56 Suppl 6:109-15.
Morbid obesity affects about 300, 000 patients in Poland. The number and type of bariatric procedures performed between 1993 and 2003 has been based on data collected from Polish surgeons active in this field. During the years 1993 - 2003, 1285 primary bariatric procedures were performed in total. Amongst these 79.1% were, commonly done as restrictive ones, including vertical banded gastroplasty-76.3%, laparoscopic adjustable gastric banding-17.7% and silastic ring vertical gastroplasty-5.5% and at last non-adjustable gastric band with 0.5%. Less popular are malabsorptive procedures - 20.9%, with Roux-en-Y gastric bypass - 79.1% and biliopancreatic diversion 20.9%. During last year 2003: malabsorptive procedures represented one third of all primary procedures and the laparoscopic approach was utilised in 18 % of operations. 61 revisions were reported. There are only three centres with experience in treating more than 100 patients (one of them treated over 600). Two centres have experience in carrying out bariatric surgery for longer than five years. During 1993 - 1997 216 operations were performed. Between 1998 - 2002: 724 procedures, and during last year 345. Patients were treated during last year in ten surgical departments. The number of morbidly obese patients treated surgically in Poland is increasing, but it is still inadequate to meet the growing demand.
在波兰，病态肥胖影响着约30万名患者。1993年至2003年间进行的减肥手术的数量和类型基于从该领域活跃的波兰外科医生收集的数据。在1993年至2003年期间，总共进行了1285例初次减肥手术。其中79.1%是常见的限制性手术，包括垂直束带胃成形术——76.3%、腹腔镜可调节胃束带术——17.7%、硅橡胶环垂直胃成形术——5.5%，最后是不可调节胃束带术，占0.5%。吸收不良性手术不太常见——20.9%，其中Roux-en-Y胃旁路术——79.1%，胆胰分流术——20.9%。在2003年的最后一年：吸收不良性手术占所有初次手术的三分之一，18%的手术采用了腹腔镜手术方式。报告了61例翻修手术。只有三个中心有治疗100多名患者的经验（其中一个中心治疗了600多名患者）。两个中心有超过五年的减肥手术经验。在1993年至1997年期间进行了216例手术。在1998年至2002年期间：724例手术，在最后一年是345例。去年有患者在十个外科科室接受治疗。波兰接受手术治疗的病态肥胖患者数量在增加，但仍不足以满足不断增长的需求。
