减肥手术趋势：来自国际减肥手术注册中心的18年报告。

Bariatric surgery trends: an 18-year report from the International Bariatric Surgery Registry.

作者信息

Samuel Isaac, Mason Edward E, Renquist Kathleen E, Huang Yu-Hui, Zimmerman M Bridget, Jamal Mohammad

机构信息

Department of Surgery, The Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242-1086, USA.

出版信息

Am J Surg. 2006 Nov;192(5):657-62. doi: 10.1016/j.amjsurg.2006.07.006.

DOI:10.1016/j.amjsurg.2006.07.006

PMID:17071202

Abstract

BACKGROUND

The epidemic of morbid obesity has increased bariatric procedures performed. Trend analyses provide important information that may impact individual practices.

METHODS

Patient data from 137 surgeons were examined from 1987 to 2004 (41,860 patients) using Cochran-Armitage Trend test and Generalized Linear Model.

RESULTS

Over an 18-year period, surgeon preference for combined restrictive-malabsorptive procedures increased from 33% to 94%, while simple gastric restriction decreased correspondingly (P < .0001). Surgeons per worksite doubled and cases per surgeon increased 71%. Laparoscopic procedures increased to 24%. The percentage of males, mean operative age, and initial body mass index (BMI) increased significantly (P < .0001). Postoperative hospital stay decreased from 5.0 to 3.9 days (P < .0001). The most common procedure in 2004 was Roux-en-Y gastric bypass (RYGB) (59%).

CONCLUSION

Bariatric surgery patients are now older and heavier, length of stay is shorter, and the laparoscopic approach is more frequent. From 1987 to 2004, the general trend shows a clear preference for combined restrictive-malabsorptive operations.

摘要

背景

病态肥胖症的流行增加了减肥手术的实施量。趋势分析提供了可能影响个体医疗行为的重要信息。

方法

使用 Cochr an - Armitage趋势检验和广义线性模型，对1987年至2004年期间137位外科医生的患者数据进行了分析（共41,860例患者）。

结果

在18年的时间里，外科医生对限制性 - 吸收不良联合手术的偏好从33%增加到94%，而单纯胃限制手术则相应减少（P <.0001）。每个工作地点的外科医生数量增加了一倍，每位外科医生的手术病例增加了71%。腹腔镜手术增加到24%。男性比例、平均手术年龄和初始体重指数（BMI）显著增加（P <.0001）。术后住院时间从5.0天减少到3.9天（P <.0001）。2004年最常见的手术是Roux - en - Y胃旁路术（RYGB）（59%）。