Journal ArticleDOI
Trends in use of bariatric surgery, 2003-2008.
Ninh T. Nguyen,Hossein Masoomi,Cheryl P. Magno,Xuan-Mai T. Nguyen,Kelly Laugenour,John S. Lane +5 more
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TLDR
In the United States, the number of bariatric operations peaked in 2004 and plateaued thereafter, and use of the laparoscopic approach to bariatric surgery has increased to >90% ofbariatric operations.Abstract:
Background During the past decade, the field of bariatric surgery has changed dramatically. This study was intended to determine trends in the use of bariatric surgery in the United States. Data used were from the Nationwide Inpatient Sample from 2003 through 2008. Study Design We used ICD-9 diagnosis and procedural codes to identify all hospitalizations during which a bariatric procedure was performed for the treatment of morbid obesity between 2003 and 2008. Data were reviewed for patient characteristics, annual number of bariatric procedures, and proportion of laparoscopic cases. US Census data were used to calculate the population-based annual rate of bariatric surgery per 100,000 adults. The number of surgeons performing bariatric surgery was estimated by the number of members in the American Society for Metabolic and Bariatric Surgery. Results For the period between 2003 and 2008, the number of bariatric operations peaked in 2004 at 135,985 cases and plateaued at 124,838 cases in 2008. The annual rate of bariatric operations peaked at 63.9 procedures per 100,000 adults in 2004 and decreased to 54.2 procedures in 2008. The proportion of laparoscopic bariatric operations increased from 20.1% in 2003 to 90.2% in 2008. The number of bariatric surgeons with membership in the American Society for Metabolic and Bariatric Surgery increased from 931 to 1,819 during the 6 years studied. The in-hospital mortality rate decreased from 0.21% in 2003 to 0.10% in 2008. Conclusions In the United States, the number of bariatric operations peaked in 2004 and plateaued thereafter. Use of the laparoscopic approach to bariatric surgery has increased to >90% of bariatric operations. In-hospital mortality continually decreased throughout the 6-year period.read more
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Journal ArticleDOI
Bariatric surgery for obesity and metabolic conditions in adults
TL;DR: Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process.
Journal ArticleDOI
Trends in utilization of bariatric surgery, 2010-2014: sleeve gastrectomy dominates
TL;DR: SG has been increasingly performed in the United States superseding adjustable gastric band and RYGB, and the trend is in favor of females, lower BMI, and lower ratio of patients with diabetes and hypertension.
Journal ArticleDOI
Incorporating patient-preference evidence into regulatory decision making
Martin Ho,Juan Marcos Gonzalez,Herbert P. Lerner,Carolyn Y. Neuland,Joyce M. Whang,Michelle McMurry-Heath,A. Brett Hauber,Telba Irony +7 more
TL;DR: A tool is developed to estimate the minimum weight loss acceptable by a patient to receive a device with a given risk profile and the maximum mortality risk tolerable in exchange for a given weight loss, and captures the heterogeneity of patient preferences allowing market approval of effective devices for risk tolerant patients.
Journal ArticleDOI
Obesity as a Disease
TL;DR: The high risk of comorbid conditions in obese individuals, the significant changes from healthy physiology that are present in the obese state, and the need for further public policies to address the public health threat and economic impact of obesity in the population are strong supporting arguments to label obesity as a disease.
Journal ArticleDOI
Effects of Roux-en-Y gastric bypass on energy and glucose homeostasis are preserved in two mouse models of functional glucagon-like peptide-1 deficiency.
TL;DR: It is shown that the effect of RYGB to enhance glucose-stimulated GLP-1 secretion was greatly attenuated in α-gustducin-deficient (α-Gust (-/-) mice, suggesting that GLp-1, acting through its classical GLP1R or its bioactive metabolites, does not seem to be involved in the effects of RyGB on body weight and glucose homeostasis.
References
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Journal ArticleDOI
Long-Term Mortality after Gastric Bypass Surgery
Ted D. Adams,Richard E. Gress,Sherman C. Smith,R. Chad Halverson,Steven C. Simper,Wayne D. Rosamond,Michael J. LaMonte,Antoinette M. Stroup,Steven C. Hunt +8 more
TL;DR: Long-term total mortality after gastric bypass surgery was significantly reduced, particularly deaths from diabetes, heart disease, and cancer, however, the rate of death from causes other than disease was higher in the surgery group than in the control group.
Journal ArticleDOI
Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis.
Henry Buchwald,Rhonda Estok,Kyle Fahrbach,Deirdre Banel,Michael D. Jensen,Walter J. Pories,John P. Bantle,Isabella Sledge +7 more
TL;DR: In this paper, the impact of bariatric surgery on type 2 diabetes in association with the procedure performed and the weight reduction achieved was determined. But, the authors focused on the resolution of the clinical and laboratory manifestations of Type 2 diabetes.
Journal ArticleDOI
Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients.
Nicolas V. Christou,John S. Sampalis,Moishe Liberman,Didier Look,Stephane Auger,A. P. H. Mclean,Lloyd D. MacLean +6 more
TL;DR: This study shows that weight-loss surgery significantly decreases overall mortality as well as the development of new health-related conditions in morbidly obese patients.
Journal ArticleDOI
The Relationship Between Hospital Volume and Outcome in Bariatric Surgery at Academic Medical Centers
Ninh T. Nguyen,Mahbod Paya,C. Melinda Stevens,Shahrzad Mavandadi,Kambiz Zainabadi,Samuel E. Wilson +5 more
TL;DR: Bariatric surgery performed at hospitals with more than 100 cases annually is associated with a shorter length of stay, lower morbidity and mortality, and decreased costs, which may be related in part to formalization of the structures and processes of care.
Journal ArticleDOI
Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database.
TL;DR: The data have revealed important characteristics of patients undergoing bariatric surgery across the United States in centers participating in the Bariatric Surgery Center of Excellence program, and are likely to have a major effect on the specialty of bariatric Surgery.
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