title: Trends of bariatric surgery in France during the last 10 years: analysis of 267,466 procedures from 2005-2014.
abstract: BACKGROUND
  During the past decade, the field of bariatric surgery has changed dramatically.
  
  
  OBJECTIVE
  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 Médicalisation des Systèmes d׳Information from 2005 to 2014.
  
  
  METHODS
  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<30 operations/yr. We observed an overall in-hospital mortality ranging from .038% to .05% during the last 3 years.
  
  
  CONCLUSIONS
  Bariatric surgery is increasing in France, with a fourfold augmentation of interventions in the last 10 years. The number of sleeve gastrectomies has increased considerably. This activity is performed in numerous centers, one third of them performing<30 interventions/yr.
authors: Division of Digestive Surgery and Liver Transplantation, Hôpital Archet 2, Nice, France. Electronic address: dr.debs@hotmail.com.
authors: Tarek
authors: T
authors: Debs
authors: Division of Digestive Surgery and Liver Transplantation, Hôpital Archet 2, Nice, France.
authors: Niccolo
authors: N
authors: Petrucciani
authors: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France.
authors: Radwan
authors: R
authors: Kassir
authors: Division of Digestive Surgery and Liver Transplantation, Hôpital Archet 2, Nice, France.
authors: Antonio
authors: A
authors: Iannelli
authors: Division of Digestive Surgery and Liver Transplantation, Hôpital Archet 2, Nice, France.
authors: Imed Ben
authors: IB
authors: Amor
authors: Division of Digestive Surgery and Liver Transplantation, Hôpital Archet 2, Nice, France.
authors: Jean
authors: J
authors: Gugenheim
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000401:mortality / Q000639:trends*; D005260:Female; D005602:France / Q000453:epidemiology; D017052:Hospital Mortality; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000401:mortality / Q000601:surgery*; D017678:Sex Distribution; D013531:Surgicenters / Q000706:statistics & numerical data
keywords: Adjustable gastric banding; France; Mortality; Obesity; Roux-en-Y gastric bypass; Sleeve gastrectomy; Surgery; Trends