Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of General Surgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Obes Surg. 2018 Sep;28(9):2979-2982. doi: 10.1007/s11695-018-3342-5.
Laparoscopic adjustable gastric band (LAGB) placement remains a common bariatric procedure. While LAGB procedure is performed within private clinics in most Canadian provinces, public health care is often utilized for LAGB-related reoperations. We identified 642 gastric band removal procedures performed in Ontario from 2011 to 2014 using population-level administrative data. The number of procedures performed increased annually from 101 in 2011 to 220 in 2014. Notably, 54.7% of the patients required laparotomy, and 17.6% of patients underwent a subsequent bariatric surgery. Our findings demonstrated that LAGB placement in private clinics resulted in a large number of band removal procedures performed within the public system. This represents a significant public health concern that may result in significant health care utilization and patient morbidity.
腹腔镜可调节胃束带（LAGB）放置仍然是一种常见的减肥手术。虽然在加拿大大多数省份的私人诊所都进行 LAGB 手术，但公共医疗保健通常用于 LAGB 相关的再次手术。我们使用人口水平的行政数据，确定了 2011 年至 2014 年在安大略省进行的 642 例胃带去除手术。手术数量逐年增加，从 2011 年的 101 例增加到 2014 年的 220 例。值得注意的是，54.7%的患者需要剖腹手术，17.6%的患者接受了随后的减肥手术。我们的研究结果表明，私人诊所的 LAGB 放置导致大量的胃带去除手术在公共系统中进行。这是一个重大的公共卫生问题，可能导致大量的医疗保健利用和患者发病率。
