Stroh Christine, Weiner Rudolf, Wolff Stefanie, Knoll Christian, Manger Thomas
Department of General, Abdominal and Pediatric Surgery, SRH Municipal Hospital, Gera, Germany ; Institute for Quality Assurance in Surgical Medicine, University Hospital, Magdeburg, Germany.
Department of Surgery, Sachsenhausen Hospital, Frankfurt/M., Germany.
Viszeralmedizin. 2014 Apr;30(2):125-32. doi: 10.1159/000360148.
Since January 2005, the status of bariatric surgery in Germany has been examined in conjunction with a quality assurance study of the German Bariatric Surgery Registry (GBSR). All data are registered prospectively in cooperation with the Institute for Quality Assurance in Surgical Medicine at the Otto-von-Guericke University Magdeburg, Germany.
Data are registered in an online database. Data collection on obesity and metabolic surgery is voluntary, and was started in 2005. In addition, follow-up data are collected once a year.
Since 2005, 8,293 sleeve gastrectomies, 10,330 Roux-en-Y gastric bypass procedures, and 3,741 gastric banding procedures have been performed in Germany, according to the data of the GBSR. Mean age and mean body mass index of female patients with gastric banding, sleeve gastrectomy, or Roux-en-Y gastric bypass were significantly lower than those of male patients. The incidence of relevant comorbidities was significantly higher in male than in female patients.
Metabolic and obesity surgery is becoming more and more popular in Germany. Data from the GBSR study show significant differences in preoperative comorbidities and postoperative complication and mortality rates between male and female patients. There is a need for further evaluation of gender-specific aspects to optimize patient selection and reduce specific postoperative complications.
自2005年1月起，德国对减肥手术的状况进行了调查，并结合德国减肥手术登记处（GBSR）的质量保证研究。所有数据均与德国马格德堡奥托-冯-格里克大学外科医学质量保证研究所合作进行前瞻性登记。
数据登记在一个在线数据库中。肥胖与代谢手术的数据收集是自愿的，始于2005年。此外，每年收集一次随访数据。
根据GBSR的数据，自2005年以来，德国已进行了8293例袖状胃切除术、10330例Roux-en-Y胃旁路手术和3741例胃束带手术。接受胃束带手术、袖状胃切除术或Roux-en-Y胃旁路手术的女性患者的平均年龄和平均体重指数显著低于男性患者。男性患者相关合并症的发生率显著高于女性患者。
代谢和肥胖手术在德国越来越受欢迎。GBSR研究的数据显示，男性和女性患者术前合并症、术后并发症及死亡率存在显著差异。需要进一步评估性别特异性因素，以优化患者选择并减少特定的术后并发症。
