A nationwide survey on bariatric surgery in France: two years prospective follow-up.
BACKGROUND
Most studies on bariatric surgery outcomes have been performed in clinical trials (eg. the SOS) or reflect the clinical experience and practice of specific and experienced centers. Little is known about the current practice at a nationwide level.


METHODS
This is a systematic nationwide study on the 2-year outcome of all consecutive 1,236 bariatric operations performed in France. Data on mortality, weight loss, complications, and patient satisfaction were collected independently from the medical and surgical team involved in the patients' care.


RESULTS
87.3% of the patients underwent an adjustable gastric banding (ABG), 8.6% a vertical banded gastroplasty (VBG), 3.8% a Roux-en-Y gastric bypass (RYGBP) and 0.3% a biliopancreatic diversion (BPD). Loss of follow-up was 12% at year 1 and 18% at year 2. The rate of laparoscopic procedures was 98% for ABG and 73% for RYGBP. Mortality rate was 0.16% in the operative period and 0.27% during follow-up. Excess weight loss ranged from 43% (AGB) to 66% (RYGBP). Co-morbidities improved in more than 70% of patients.


CONCLUSIONS
Outcomes of bariatric surgery in routine practice (mortality, weight loss, course of co-morbidities, and quality of life) are similar to the results published in clinical trials.
Basdevant
Arnaud
A
AP-HP, Pitié Salpêtrière, Service de Nutrition, Hôtel-Dieu 75004 Paris, Université Pierre et Marie Curie, Paris 6, France.
Paita
Michel
M
Rodde-Dunet
Marie-Héléne
MH
Marty
Michel
M
Noguès
Françoise
F
Slim
Karem
K
Chevallier
Jean-Marc
JM
D000328:Adult; D050110:Bariatric Surgery; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss