title: The Changing Bariatric Surgery Landscape in the USA.
abstract: The growth of bariatric surgery in the USA followed the adoption of gastric bypass (RYGB). The recent introduction of sleeve gastrectomy (SG) has been met with wide adoption. A single state report suggests that the popularity of SG has surpassed that of RYGB. Our study aimed to assess the nationwide changes in trend of bariatric procedures performed, using data from the National Surgical Quality Improvement Program from 2010 to 2013. In this cohort of 74,790 bariatric patients, there was a significant difference in trend between laparoscopic RYGB and SG. By 2013, SG was the most common bariatric procedure performed (49.4 %). This report underlines the exponential adoption of SG and aims to alert patients, physicians, and funding agencies of the need for longitudinal prospective long-term data.
authors.affiliation: Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC, USA, SPANIOLASK@ecu.edu.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Spaniolas
authors.forename: Kevin R
authors.initials: KR
authors.lastname: Kasten
authors.forename: Jason
authors.initials: J
authors.lastname: Brinkley
authors.forename: Megan E
authors.initials: ME
authors.lastname: Sippey
authors.forename: Anthony
authors.initials: A
authors.lastname: Mozer
authors.forename: William H
authors.initials: WH
authors.lastname: Chapman
authors.forename: Walter J
authors.initials: WJ
authors.lastname: Pories
mesh_terms: D000368:Aged; D050110:Bariatric Surgery / Q000379:methods* / Q000639:trends*; D015331:Cohort Studies; D005260:Female; D005743:Gastrectomy / Q000379:methods; D015390:Gastric Bypass / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology; D015431:Weight Loss