 |
|
Accelerated Growth of Bariatric Surgery With the Introduction of Minimally Invasive Surgery
Ninh T. Nguyen, MD;
Jeffrey Root, MD;
Kambiz Zainabadi, MD;
Allen Sabio, BS;
Sara Chalifoux, BS;
C. Melinda Stevens, BS;
Shahrzad Mavandadi, BA;
Mario Longoria, MD;
Samuel E. Wilson, MD
Arch Surg. 2005;140:1198-1202.
Hypothesis An increase in national utilization of bariatric surgery correlates with the dissemination of laparoscopic bariatric surgery.
Design Evaluation of Nationwide Inpatient Sample data from 1998 through 2002.
Setting National database.
Patients A total of 188 599 patients underwent bariatric surgery for the treatment of morbid obesity.
Main Outcome Measures Annual total number of bariatric operations, the proportion of Roux-en-Y gastric bypass vs gastroplasty, the proportion of laparoscopic cases, postoperative length of stay, crude in-hospital mortality, and the number of institutions that perform bariatric surgery.
Results Between 1998 and 2002, the number of bariatric operations increased from 12 775 cases to 70 256 cases. The rate of bariatric surgery increased from 6.3 to 32.7 procedures per 100 000 adults. Laparoscopic bariatric surgery increased from 2.1% to 17.9%. The number of bariatric surgeons with membership in the American Society for Bariatric Surgery increased from 258 to 631, and the number of institutions that perform bariatric surgery increased from 131 to 323. During this 5-year period, the annual rate of laparoscopic bariatric surgery increased exponentially (by 44-fold) compared with a linear growth in open bariatric surgery (by 3-fold).
Conclusions Between 1998 and 2002, there was a 450% increase in the number of bariatric operations performed in the United States, a 144% increase in the number of American Society for Bariatric Surgery bariatric surgeons, and a 146% increase in the number of bariatric centers. The growth of laparoscopic bariatric surgery during this 5-year period greatly exceeds that of open bariatric surgery.
Author Affiliations: Department of Surgery, University of California, Irvine Medical Center, Orange.
RELATED ARTICLE
Accelerated Growth of Bariatric Surgery With the Introduction of Minimally Invasive Surgery—Invited Critique
Michael M. Meguid and Imtiaz A. Munshi
Arch Surg. 2005;140(12):1203.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Bleeding Duodenal Ulcer After Roux-en-Y Gastric Bypass Surgery
Zerey et al.
JAOA: Journal of the American Osteopathic Association 2008;108:25-27.
ABSTRACT
| FULL TEXT
Bariatric Surgery in Adolescents: Recent National Trends in Use and In-Hospital Outcome
Tsai et al.
Arch Pediatr Adolesc Med 2007;161:217-221.
ABSTRACT
| FULL TEXT
Accelerated Growth of Bariatric Surgery With the Introduction of Minimally Invasive Surgery--Invited Critique
Meguid and Munshi
Arch Surg 2005;140:1203-1203.
FULL TEXT
|
