Results of sleeve gastrectomy-data from a nationwide survey on bariatric surgery in Germany.
BACKGROUND
Beginning January 1, 2005, the status and outcomes of bariatric surgery were examined in Germany. Data are registered in cooperation with the An-Institute of quality assurance in surgery at the Otto-von-Guericke-University Magdeburg. The objective of this study was to examine the morbidity and mortality rates secondary to sleeve gastrectomy (SG) in Germany since 2006.


METHODS
Data collection occurred prospectively in an online data bank. All primary bariatric procedures performed were recorded as were all re-operations in patients that had already undergone a primary operation. Specific data compiled on the sleeve gastrectomy procedure were evaluated with a focus on operative details and complication rates.


RESULTS
The total study cohort contains 3,122 patients. From January 2006 to December 2007, 144 sleeve gastrectomy procedures were performed in the 17 hospitals participating in the study. The mean body mass index (BMI) of all patients was 48.8 kg/m(2). The BMI of patients undergoing SG was 54.5 kg/m(2). In total, 73.8% of the patients were female and 26.2% of the patients were male. There were no significant differences between patients undergoing SG. The general complication rate after SG was 14.1%, and the surgical complication rate was 9.4%. The postoperative mortality rate was 1.4%.


CONCLUSIONS
The complication rate during the first 2 years after SG in Germany is similar to that published in the literature. In order to improve the quality of bariatric surgery, an evaluation of data from a German multicenter trial is necessary to evaluate the position of SG in the bariatric algorithm.
Stroh
Christine
C
Department of General, Abdominal, and Pediatric Surgery, Municipal Hospital (Teaching Hospital of the Friedrich-Schiller University at Jena, Germany), Strasse des Friedens 122, 07548, Gera, Germany. Christine.Stroh@wkg.srh.de
Birk
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Flade-Kuthe
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Frenken
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Herbig
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Höhne
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Köhler
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Lange
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Ludwig
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Matkowitz
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Meyer
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Pick
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Horbach
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Krause
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Schäfer
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Schlensak
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Shang
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Sonnenberg
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Susewind
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Voigt
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Weiner
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Wolff
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Wolf
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Schmidt
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Lippert
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Manger
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D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects* / Q000401:mortality* / Q000706:statistics & numerical data; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome; D015431:Weight Loss