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Erschienen in: Obesity Surgery 3/2019

12.11.2018 | Original Contributions

Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018

verfasst von: Richard Welbourn, Marianne Hollyman, Robin Kinsman, John Dixon, Ronald Liem, Johan Ottosson, Almino Ramos, Villy Våge, Salman Al-Sabah, Wendy Brown, Ricardo Cohen, Peter Walton, Jacques Himpens

Erschienen in: Obesity Surgery | Ausgabe 3/2019

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Abstract

Background

Since 2014, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has produced an annual report of all bariatric surgery submitted to the Global Registry. We describe baseline demographics of international practice from the 4th report.

Methods

The IFSO Global Registry amalgamated data from 51 different countries, 14 of which provided data from their national registries. Data were available from 394,431 individual records, of which 190,177 were primary operations performed since 2014.

Results

Data were submitted on 72,645 Roux en Y gastric bypass operations (38.2%), 87,467 sleeve gastrectomy operations (46.0%), 14,516 one anastomosis gastric bypass procedures (7.6%) and 9534 gastric banding operations (5.0%) as the primary operation since 2014. The median patient body mass index (BMI) pre-surgery was 41.7 kg m2 (inter-quartile range: 38.3–46.1 kg m2). Following gastric bypass, 84.1% of patients were discharged within 2 days of surgery; and 84.5% of sleeve gastrectomy patients were discharged within 3 days. Assessing operations performed between 2012 and 2016, at one year after surgery, the mean recorded percentage weight loss was 28.9% and 66.1% of those taking medication for type 2 diabetes were recorded as not using them. The proportion of patients no longer receiving treatment for diabetes was highly dependent on weight loss achieved. There was marked variation in access and practice.

Conclusions

A global description of patients undergoing bariatric surgery is emerging. Future iterations of the registry have the potential to describe the operated patients comprehensively.
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Metadaten
Titel
Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018
verfasst von
Richard Welbourn
Marianne Hollyman
Robin Kinsman
John Dixon
Ronald Liem
Johan Ottosson
Almino Ramos
Villy Våge
Salman Al-Sabah
Wendy Brown
Ricardo Cohen
Peter Walton
Jacques Himpens
Publikationsdatum
12.11.2018
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 3/2019
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3593-1

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