Stroh C, Weiner R, Wolff S, Knoll C, de Zwaan M, Manger T, Adipositas Kompetenzzentrum
Klinik für Allgemein-, Viszeral- und Kinderchirurgie, SRH Wald-Klinikum Gera gGmbH Deutschland.
Chirurgie, KH Sachsenhausen, Frankfurt am Main, Deutschland.
Zentralbl Chir. 2015 Jun;140(3):285-93. doi: 10.1055/s-0034-1396294. Epub 2015 Apr 23.
The current situation in obesity and metabolic surgery since January 2005 has been investigated with the help of the quality assurance study on surgical therapy for obesity = German Bariatric Surgery Registry (GBSR). The data were acquired and analysed in cooperation with the Institute for Quality Assurance in Surgical Medicine at the Otto-von-Guericke University.
Data acquisition was done with the help of an online database. On a voluntary basis, all obesity and metabolic surgical interventions since 2005 have been recorded. In addition to the surgical data, the findings of the yearly follow-up investigations were recorded.
Since 2005 there have been 1,263 gastric balloon procedures, 11,840 sleeve gastrectomies, 13,722 Roux-en-Y gastric bypasses and 3999 gastric banding operations. The average age of the male patients in all interventions was significantly higher. The average BMI of female patients who received a gastric banding or a gastric balloon procedure was significantly lower than that of the male patients. Men exhibited a higher incidence of comorbidities than women.
The number of obesity and metabolic surgical interventions in Germany is continuously increasing. The results of the study on surgical therapy for obesity (GBSR) reveal significant differences in the gender-specific incidence of preoperative comorbidities. postoperative complications and mortality. Further studies on gender-specific aspects are necessary in order to optimise patient selection and reduce the incidence of postoperative complications.
借助肥胖症外科治疗质量保证研究（德国肥胖症外科注册中心，GBSR），对2005年1月以来肥胖症和代谢手术的现状进行了调查。数据是与奥托-冯-格里克大学外科医学质量保证研究所合作获取并分析的。
借助在线数据库进行数据采集。自2005年以来，所有肥胖症和代谢手术干预均在自愿基础上进行记录。除手术数据外，还记录了年度随访调查结果。
自2005年以来，共进行了1263例胃内球囊置入术、11840例袖状胃切除术、13722例Roux-en-Y胃旁路术和3999例胃束带术。所有干预中男性患者的平均年龄显著更高。接受胃束带术或胃内球囊置入术的女性患者的平均体重指数显著低于男性患者。男性的合并症发生率高于女性。
德国肥胖症和代谢手术干预的数量在持续增加。肥胖症外科治疗研究（GBSR）的结果显示，术前合并症、术后并发症和死亡率在性别特异性发生率方面存在显著差异。有必要针对性别特异性方面开展进一步研究，以优化患者选择并降低术后并发症的发生率。
