Department of Surgical Sciences, Uppsala University, Entrance 70, SE-751 85, Uppsala, Sweden.
Center for Minimally Invasive Surgery, Stockholm, Sweden.
Obes Surg. 2019 Oct;29(10):3228-3231. doi: 10.1007/s11695-019-03968-4.
Private clinic, Stockholm, and nation-wide in-hospital care, Sweden.
The use of sleeve gastrectomy (SG) for treatment of morbid obesity has increased worldwide, but information about long-term outcome is still limited. Our objective was to evaluate the need for additional in-hospital care after SG for obesity (body mass index [BMI] > 30) in 862 patients, all operated at a single center.
Two national registries, the Inpatient Registry and the Death Registry, were used to collect long-term data on in-hospital care, grouped by the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and mortality, respectively.
In-hospital care for SG-operated females was decreased for four groups of obesity-related ICD-10 diagnoses: endocrine and metabolic diseases and circulatory, digestive, and genitourinary diseases, as well as injuries and poisoning (p < 0.001 for all). However, female SG patients still required in-hospital care above the national level for women of corresponding ages.
Although a significant reduction in in-hospital care was observed, SG patients did not reach national levels.
瑞典斯德哥尔摩私人诊所和全国住院治疗。
全球范围内，袖状胃切除术（SG）治疗病态肥胖的应用有所增加，但长期结果的信息仍然有限。我们的目的是评估在单一中心为 862 名肥胖患者（BMI>30）进行 SG 治疗后，是否需要额外的住院治疗。
使用两个全国性登记处，即住院病人登记处和死亡登记处，分别通过国际疾病分类和相关健康问题（ICD-10）和死亡率对住院治疗的长期数据进行分组。
对于与肥胖相关的 ICD-10 诊断的内分泌和代谢疾病、循环系统、消化系统和泌尿生殖系统疾病以及损伤和中毒这四类疾病，接受 SG 治疗的女性患者的住院治疗有所减少（所有组 p<0.001）。然而，女性 SG 患者仍然需要高于相应年龄女性全国水平的住院治疗。
尽管观察到住院治疗显著减少，但 SG 患者并未达到全国水平。
