Trends of bariatric surgery in France during the last 10 years: analysis of 267,466 procedures from 2005-2014
Trends of bariatric surgery in France during the last 10 years: analysis of 267,466 procedures from 2005-2014
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DOI：
10.1016/j.soard.2016.05.010
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发表时间：
2016-09-01
影响因子：
3.1
通讯作者：
Gugenheim, Jean
中科院分区：
文献类型：
--
作者：
Debs, Tarek;Petrucciani, Niccolo;Gugenheim, Jean
背景：在过去的十年中，减肥外科领域发生了巨大的变化。目的：本研究旨在总结和定期评估当前法国减肥手术的使用趋势，并回顾减肥手术的长期进展。数据来自法国国家登记计划2005-2014年间的Medicalisadon des Systemes d‘Information。地点：法国的国家卫生系统和私人诊所。方法：我们确定了法国2005-2014年间所有因治疗病态肥胖而进行减肥手术的住院患者。对患者特征以及减肥手术的数量和类型的数据进行了审查。我们还分析了中心的设置和特点，以及公共部门和私营部门活动的差异。结果：2005-2014年间，减肥手术的数量增加了4倍。袖状胃切除术成为实施最多的减肥干预措施，占2014年减肥活动的60.7%。随之而来的是袖状胃切除术的急剧增加，Roux-en-Y胃旁路手术总体上略有增加，可调胃束带显著减少。2014年，有481个中心进行了减肥手术。其中，三分之一的人表演
Background: During the past decade, the field of bariatric surgery has changed dramatically.Objectives: The study aims to summarize and perform a periodic assessment of the current trends in the use of bariatric surgery in France and review findings on the long-term progression of bariatric surgery. The data were extracted from the national registry Programme de Medicalisadon des Systemes d'Information from 2005 to 2014.Setting: National health system and private practice in France.Methods: We identified all hospitalizations during which a bariatric procedure was performed for the treatment of morbid obesity from 2005 to 2014 in France. Data were reviewed for patient characteristics and the number and types of bariatric procedures. We also analyzed the setting and the characteristics of the centers and the difference of the activity between the public and private sector.Results: Between 2005 and 2014, the number of bariatric operations increased fourfold. Sleeve gastrectomy became the most performed bariatric intervention, representing 60.7% of bariatric activity in 2014. There was a concomitant steep increase in sleeve gastrectomy, with Roux-en-Y gastric bypass increasing slightly overall and a substantial decrease in adjustable gastric banding. In 2014, 481 centers performed bariatric surgery. Among them, one third performed