Trends in Bariatric Surgery: Procedure Selection, Revisional Surgeries, and Readmissions

Abraham, Anasooya; Ikramuddin, Sayeed; Jahansouz, Cyrus; Arafat, Fahd O.; Hevelone, Nathanael D.; Leslie, Daniel B.

doi:10.1007/s11695-015-1974-2

Cited by 105 publications

(48 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies evaluated the change in bariatric surgery types in the U.S. over time [ 7 , 9 , 10 , 12 , 21 , 22 ]. Gastric banding was a popular procedure in the early 2000’s (accounting for 25–30% of all bariatric surgeries) [ 9 ] because of its safety and reversibility, which allows for the removal of original banding and the access to other surgical options [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in utilization and peri-operative outcomes of bariatric surgery in large U.S. hospital database, 2011-2014

Zhang¹,

Scott²,

Shi³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

BackgroundWith the epidemic of morbid obesity, bariatric surgery has been accepted as one of the most effective treatments of obesity.ObjectiveTo investigate recent changes in the utilization of bariatric surgery, patients and hospital characteristics, and in-hospital complications in a nationwide hospital database in the United States.SettingThis is a secondary data analysis of the Premier Perspective database.MethodsICD-9 codes were used to identify bariatric surgeries performed between 2011 and 2014. Descriptive statistics were computed and regression was used.ResultsA total of 74,774 bariatric procedures were identified from 436 hospitals between 2011 and 2014. During this time period, the proportion of gastric bypass (from 44.8% to 31.3%; P for trend < 0.0001) and gastric banding (from 22.8% to 5.2%; P for trend < 0.0001) decreased, while the proportion of sleeve gastrectomy (from 13.7% to 56.9%; P for trend < 0.0001) increased substantially. The proportion of bariatric surgery performed for outpatients decreased from 17.15% in 2011 to 8.11% in 2014 (P for trend < 0.0001). The majority of patients undergoing surgery were female (78.5%), white (65.6%), younger than 65 years (93.8%), and insured with managed care (53.6%). In-hospital mortality rate and length of hospital stay remained stable. The majority of surgeries were performed in high-volume (71.8%) and urban (91.6%) hospitals.ConclusionsResults based on our study sample indicated that the popularity of various bariatric surgery procedures changed significantly from 2011 to 2014. While the rates of in-hospital complications were stable, disparities in the use of bariatric surgery regarding gender, race, and insurance still exist.

show abstract

Section: Discussionmentioning

confidence: 99%

Changes in utilization and peri-operative outcomes of bariatric surgery in large U.S. hospital database, 2011-2014

Zhang¹,

Scott²,

Shi³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…4 The most commonly used bariatric and metabolic surgical techniques are adjustable gastric banding, sleeve gastrectomy (SG), and Roux-en-Y gastric bypass. 7,8 Recently, especially in metabolic surgery, modifications of the first applied surgical techniques, such as SADI, transit bipartition, and modified transit bipartition have been attempted. 3,9,10 One anastomosis gastric bypass, or as called earlier MGB, is a method that has been used for about 20 years.…”

Section: Discussionmentioning

confidence: 99%

Bridged Mini Gastric Bypass: A Novel Metabolic and Bariatric Operation

SumerAziz

AtasoyDeniz

BarbarosUmut

et al. 2019

Bariatric Surgical Practice and Patient Care

View full text Add to dashboard Cite

In this article, we aimed to report the first five cases of laparoscopic bridged mini gastric bypass (BMGB) in the treatment of obesity and type II diabetes mellitus (DM). Presentation of Cases: We have performed five cases with a new modified surgical method that we call a BMGB. The patients' recoveries were uneventful. The weight losses of the patients were 15, 13, 14, 11, and 13 kg subsequently and with complete normalization of all metabolic parameters at first month of follow-up. Discussion: The BMGB was modified from the mini gastric bypass and resulted with the same nutritional results, less surgical complications, and a possible advantage of remaining access to the remnant stomach. Conclusion: BMGB may be as effective and possibly an even easier operation to treat obesity and uncontrolled type II DM with possible advantages over currently available metabolic procedures.

show abstract

“…Bariatric (weight loss) surgery is an effective treatment of morbid obesity and the number of bariatric operations has increased substantially in recent decades. The two major currently used weight loss surgeries are laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) (1)(2)(3). The fundamental difference between these two operations is that in LSG only the anatomy of the stomach is changed, due to a large vertical gastric resection, without bypassing the stomach, in contrast to LRYGB (4).…”

Section: Introduction Introductionmentioning

confidence: 99%

Serum Gastric Biomarker Levels After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass Operations: A Prospective Study with 1-year Follow-up

Suumann¹,

Sillakivi²,

Riispere³

et al. 2019

SGO

View full text Add to dashboard Cite

Objectives:To study the function of the gastric mucosa and acid secretion after bariatric surgery, GastroPanel ® (GP), serum biomarker test was performed in 29 laparoscopic sleeve gastrectomy (LSG) and 28 laparoscopic Roux-en-Y gastric bypass (LRYGB) patients before and after surgery. Methods: Pepsinogen I (PGI), II (PGII), basal fasting gastrin-17 (G17b), stimulated gastrin-17 (G17s) and Helicobacter pylori antibody (HPAB) levels in serum were assayed preoperatively, postoperatively on days 1 and 3, and after 1, 3 and 12 months. Results: The serum levels of PGI, PGII and the PGI/PGII ratio declined significantly in the LSG patients immediately after surgery, and the low levels remained stable throughout the 1-year follow-up period. This was accompanied by a substantially increased output of G17b. In the LRYGB patients, PGI and PGII levels rose markedly during the first 3 postoperative days, thereafter the levels of PGI and PGII, and the PGI/PGII ratio declined significantly. In contrast to LSG, the level of the G17b remained unchanged throughout the whole follow-up period in the LRYGB patients. Excess Weight Loss (%EWL) was 77% and 65% in the LSG and LRYGB groups, respectively. The preoperative biomarker profile did not correlate with %EWL in either of the operative groups. Conclusions: Significant changes do occur in GP biomarker levels following LSG and LRYGB, suggesting reduced functional activity of the gastric corpus with consequent hypoacidity in the gastric remnant, particularly after LSG. Preoperative GP biomarker levels do not predict postoperative %EWL.

show abstract

Trends in Bariatric Surgery: Procedure Selection, Revisional Surgeries, and Readmissions

Cited by 105 publications

References 21 publications

Changes in utilization and peri-operative outcomes of bariatric surgery in large U.S. hospital database, 2011-2014

Changes in utilization and peri-operative outcomes of bariatric surgery in large U.S. hospital database, 2011-2014

Bridged Mini Gastric Bypass: A Novel Metabolic and Bariatric Operation

Serum Gastric Biomarker Levels After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass Operations: A Prospective Study with 1-year Follow-up

Contact Info

Product

Resources

About