Trends in Use of Upper Abdominal Procedures in Sweden 1998–2011: A Population‐Based Study

Abstract

In total, the number of upper abdominal procedures performed per inhabitant increased. Laparoscopic gastric bypass increased substantially and became the second most common procedure after laparoscopic cholecystectomy. An increase in resectional surgery was observed.

Geographical differences in upper abdominal resectional surgery and high-volume procedures in Sweden during 2009–2011

“…This is in accordance with the figures presented by the national quality register, Scandinavian Obesity Surgery register [20], which receives data directly from the professionals and thus contains almost all cases irrespective of funding. Nonetheless, the sixfold expansion of bariatric surgery in Sweden since the millennium [1] represents an unprecedented increase in surgical care, and it would be surprising if this increase had been similar in all counties.…”

“…Except for a decreasing incidence of gastric cancer, 70-22/100,000 new cases annually between 1970 and 2010 [9], the incidence of esophageal, pancreatic, and liver tumors has been stable in the last decade [1]. We believe that the observed geographical differences in resectional surgery mainly depend on local traditions and interpretation of surgical indications, rather than regional differences in cancer incidence.…”

“…This development could also affect the total number of procedures in a specific county. The massive increase in bariatric surgery might indirectly affect the number of cholecystectomies, a phenomenon also seen in reflux surgery, which has decreased from 16 to 4.1 procedures/100,000/year during the last 12 years nationally [1].…”

“…For in-hospital upper abdominal surgery in Sweden, a slight increase in resectional surgery, a slight decrease in cholecystectomies, and a six-fold increase in bariatric surgery took place on a national level between 1998 and 2011 [1].…”

Regional variations in cholecystectomy rates in Sweden: impact on complications of gallstone disease

“…Cholecystectomy -removal of the gallbladder: is the only established definitive surgical therapy for symptomatic gallstone disease [Gollan JL et al 1993]. In the advent of minimally invasive surgery, laparoscopic cholecystectomy has become the treatment of choice for symptomatic gallstone disease and is one of the most common surgical operations [Sundbom and Hedberg 2014]. It is normally performed by the four-trocar technique introduced into the abdominal cavity under general anesthesia.…”