title: Bariatric surgery outcomes in a European Centre of Excellence (CoE).
abstract: Bariatric Surgery Centres of Excellence have been promoted by the International Federation for the Surgery of Obesity and Metabolic Disorders European Chapter to improve outcomes and security of patients. A retrospective analysis of our prospective database has been performed. Between May 2001 and September 2012, we operated on 690 patients, first with open gastric bypass (2001-2005), then laparoscopy (2006-2009), introduced robotics and finally the Centre of Excellence period (2012). Complication rate was 18.9 % in the first period and 3 % in the last. We reoperated on 9 % of patients in two early periods and none in the last. Mortality rate was 2, 0.85, 0.47 and 0 % in the four periods. Teams that are just at the beginning of their experience in bariatric surgery in order to avoid complications and deal with better long-term results.
authors: Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC, Passeig de la Vall d’Hebron, 119-129, 08035 Barcelona, Spain.
authors: José Manuel
authors: JM
authors: Fort
authors: Ramon
authors: R
authors: Vilallonga
authors: Albert
authors: A
authors: Lecube
authors: Oscar
authors: O
authors: Gonzalez
authors: Enric
authors: E
authors: Caubet
authors: Jordi
authors: J
authors: Mesa
authors: Manel
authors: M
authors: Armengol
mesh_terms: D000047:Academies and Institutes; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects / Q000401:mortality / Q000592:standards / Q000639:trends; D015992:Body Mass Index; D005062:European Union; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000592:standards / Q000639:trends; D007902:Length of Stay; D008297:Male; D017146:Models, Organizational; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011785:Quality Assurance, Health Care; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012371:Robotics / Q000592:standards / Q000639:trends; D013030:Spain / Q000453:epidemiology; D015996:Survival Rate
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