Regional variations in gastric bypass surgery: results from the 2005 nationwide inpatient sample.

Abstract:

BACKGROUND:The purpose of this study is to use nationally representative data to examine regional variations in the use and outcomes of gastric bypass surgery. METHODS:Using data from the Nationwide Inpatient Sample (NIS), we identified adults undergoing gastric bypass surgery (n = 92,910) in 2005. Following descriptive analyses, multiple logistic regression models were constructed to examine regional variations in the likelihood of laparoscopic vs. open approaches and in the likelihood of complications while controlling for patient and hospital characteristics. RESULTS:After indirectly adjusting for age and sex, the gastric bypass rates per 100,000 were as follows: Northeast, 70; Midwest, 39; South, 37; and West, 61. After adjusting for both patient and hospital characteristics, the odds of receiving laparoscopic surgery for patients living in the West were 1.79 times the mean [95% confidence interval (CI): 1.67-1.92], while the odds of receiving laparoscopic surgery for patients in the Midwest were 0.66 of the mean (95% CI: 0.62-0.70) and those of the Northeast were 0.88 of the mean (95% CI: 0.83-0.94). When adjusting for both patient and hospital characteristics, the odds of one or more postoperative complications among patients living in the South were greater than the mean (OR: 1.14, 95% CI: 1.02-1.26). CONCLUSIONS:Findings from this study suggest that gastric bypass surgery is more common in the Northeast and West. There is a greater likelihood of gastric bypass being performed laparoscopically in the West; it is less likely to be performed in the Northeast and Midwest. Postoperative complications are more likely to occur in the South.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Weller WE,Rosati C

doi

10.1007/s11695-008-9524-9

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

1225-32

issue

10

eissn

0960-8923

issn

1708-0428

journal_volume

18

pub_type

杂志文章
  • Emergency sleeve gastrectomy as rescue treatment for acute gastric necrosis due to type II paraesophageal hernia in an obese woman with gastric banding.

    abstract::A morbidly obese 42-year-old woman presented with a 1-week history of left chest pain. She had undergone laparoscopic adjustable gastric banding 16 months earlier with a body mass index (BMI) of 49.2 kg/m2. Diagnostic workup revealed a large left pleural empyema and ruled out band slippage. At left thoracotomy, a misd...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9374-x

    authors: Bernante P,Breda C,Zangrandi F,Pomerri F,Pelizzo MR,Foletto M

    更新日期:2008-06-01 00:00:00

  • Comparison of Banded Versus Non-banded Roux-en-Y Gastric Bypass: a Series of 1150 Patients at a Single Institution.

    abstract:BACKGROUND:Variations have been proposed in order to improve weight loss and decrease complication profiles in Roux-en-Y gastric bypass (RYGB) patients. We previously reported a preliminary result of pericardial patch ring RYGB. We aim to report a detailed result of banded RYGB by comparing these patients to non-banded...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2832-1

    authors: Moon RC,Frommelt A,Teixeira AF,Jawad MA

    更新日期:2018-01-01 00:00:00

  • Assessment of the effects of a taped cognitive behavior message on postoperative complications (therapeutic suggestions under anesthesia).

    abstract:BACKGROUND:The authors studied whether playing a taped cognitive-behavior message during and immediately following bariatric surgery will improve performance of a postoperative regimen designed to enhance recovery. METHODS:The double-blinded placebo-controlled study consisted of 27 morbidly obese bariatric surgical pa...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1381/09608920160556779

    authors: Cowan GS Jr,Buffington CK,Cowan GS 3rd,Hathaway D

    更新日期:2001-10-01 00:00:00

  • Metabolically Healthy Obesity and Bariatric Surgery.

    abstract::A peculiar category of persons with obesity lacking common metabolic disturbances has been depicted and termed as metabolically healthy obesity (MHO). Yet, although MHO patients are free of obesity-associated complications, they might not be entirely precluded from developing cardio-metabolic disorders. Among patients...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-019-03964-8

    authors: Cătoi AF,Busetto L

    更新日期:2019-09-01 00:00:00

  • Histological findings in the liver before and after gastric bypass.

    abstract:BACKGROUND:Bariatric surgery results in massive loss of excess weight, changes in co-morbidities and improvement in quality of life. In these patients, liver histology taken before or during surgery reveals several histological abnormalities. In a prospective study of patients previously submitted to gastric bypass, we...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206776944904

    authors: Csendes A,Smok G,Burgos AM

    更新日期:2006-05-01 00:00:00

  • Gastric bypass increases ethanol and water consumption in diet-induced obese rats.

    abstract:BACKGROUND:Roux-en-Y gastric bypass surgery (RYGB) is an effective treatment for morbid obesity. Increased alcohol abuse after RYGB resulted in recommendations to exclude patients with alcohol abuse histories from RYGB. The purpose of our study was to examine the effects of a RYGB on ethanol intake in diet-induced obes...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0749-2

    authors: Thanos PK,Subrize M,Delis F,Cooney RN,Culnan D,Sun M,Wang GJ,Volkow ND,Hajnal A

    更新日期:2012-12-01 00:00:00

  • A revolutionary design change to improve stapler safety.

    abstract:BACKGROUND:Postoperative staple line leaks and bleeding are the most common reasons for complications in surgical procedures that involve organ resection, such as sleeve gastrectomy. Increasing the safety of these operations requires improving the instruments (endostaplers or endocutters) used for stapling and sectioni...

    journal_title:Obesity surgery

    pub_type: 信件

    doi:10.1007/s11695-012-0792-z

    authors: Arteaga-González IJ

    更新日期:2013-01-01 00:00:00

  • A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery.

    abstract:BACKGROUND:Exercise is a strong determinant of prolonged weight loss in non-surgical patients. Studies evaluating the impact of exercise beyond the first year after bariatric surgery are lacking. We analyzed the relationship between reported intentional exercise and medium-term weight loss following bariatric surgery. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3434-2

    authors: Kerrigan DJ,Carlin AM,Munie S,Keteyian SJ

    更新日期:2018-12-01 00:00:00

  • Investigating Bias from Missing Data in an Electronic Health Records-Based Study of Weight Loss After Bariatric Surgery.

    abstract:PURPOSE:Missing data is common in electronic health records (EHR)-based obesity research. To avoid bias, it is critical to understand mechanisms that underpin missingness. We conducted a survey among bariatric surgery patients in three integrated health systems to (i) investigate predictors of disenrollment and (ii) ex...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-021-05226-y

    authors: Koffman L,Levis AW,Arterburn D,Coleman KJ,Herrinton LJ,Cooper J,Ewing J,Fischer H,Fraser JR,Johnson E,Taylor B,Theis MK,Liu L,Courcoulas A,Li R,Fisher DP,Amsden L,Haneuse S

    更新日期:2021-01-19 00:00:00

  • Can a Bariatric Surgery Program Succeed Without Close Patient Proximity? The Experience in a Military Medical Center.

    abstract::Many centers advocate close patient follow-up and a multidisciplinary approach as necessary ingredients for the success of a bariatric surgery program. The military medical environment is not suitable for these conditions. Many patients are referred from great distances to the large regional medical centers, thereby p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558449

    authors: Shikora SA,Abrahamian GA,Gaines CE

    更新日期:1994-08-01 00:00:00

  • Bariatric emergencies for non-bariatric surgeons: complications of laparoscopic gastric banding.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) has gained popularity for treatment of morbid obesity worldwide. With the widespread use of LAGB, an increasing number of medical specialists are dealing with the potentially life-threatening complications of this procedure. METHODS:More than 6,000 LABGs were p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-0059-5

    authors: Kirshtein B,Lantsberg L,Mizrahi S,Avinoach E

    更新日期:2010-11-01 00:00:00

  • "Black Esophagus" and Gastric Volvulus Following Slipped Laparoscopic Adjustable Gastric Band.

    abstract::To review the entity "black esophagus" and sequela of a slipped laparoscopic adjustable band. The patient's history, physical examination, imaging, and endoscopic findings were reviewed. Detailed review of pathophysiology, presentation, diagnosis, management, and natural history was conducted. "Black esophagus," also ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3354-1

    authors: Moore C,Matthews LR,Danner O,Taha A,Bashan-Gilzenrat A,Nguyen J,Childs E,Udobi K

    更新日期:2018-09-01 00:00:00

  • The effect of Roux-en-Y gastric bypass on prescription drug costs.

    abstract:BACKGROUND:This study examines the effect of weight loss following laparoscopic Roux-en-Y gastric bypass (RYGBP) for morbid obesity on prescription drug costs in patients over the age of 54. METHODS:78 patients aged 55 to 75 who met the inclusion criteria were identified in a database of 1,060 morbidly obese patients ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892041975677

    authors: Snow LL,Weinstein LS,Hannon JK,Lane DR,Ringold FG,Hansen PA,Pointer MD

    更新日期:2004-09-01 00:00:00

  • Influence of the actual diameter of the gastric pouch outlet in weight loss after silicon ring Roux-en-Y gastric bypass: an endoscopic study.

    abstract::Some sort of restriction of the pouch emptying is supported by many surgeons to allow a sustained weight loss through the use of a ring placed circumferentially around the gastric pouch. Most previous studies focused on the length of the ring, not the actual diameter of the gastric pouch outlet. This study aims to eva...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0189-9

    authors: Mali J Jr,Fernandes FA,Valezi AC,Matsuo T,Menezes Mde A

    更新日期:2010-09-01 00:00:00

  • Small bowel obstruction and internal hernias during pregnancy after gastric bypass surgery.

    abstract::Small bowel obstruction (SBO) is a recognized complication of Roux-en-Y gastric bypass (RYGB) surgery. Internal hernia (IH) a potential problem associated with RYGB, can have severe consequences if not diagnosed. We present two cases of SBO due to IH during pregnancy after laparoscopic RYGB (LRYGB). Both patients unde...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-008-9681-x

    authors: Torres-Villalobos GM,Kellogg TA,Leslie DB,Antanavicius G,Andrade RS,Slusarek B,Prosen TL,Ikramuddin S

    更新日期:2009-07-01 00:00:00

  • Use of endoluminal antireflux therapies for obese patients with GERD.

    abstract:BACKGROUND:Obese patients with gastroesophageal reflux disease (GERD) refractory to medical therapy are a challenging patient population as obesity is a preoperative predictor of failure after antireflux surgery. We therefore sought to evaluate outcomes using one of two commercially available endoluminal therapies in t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9715-4

    authors: White B,Jeansonne LO,Cook M,Chavarriaga LF,Goldenberg EA,Davis SS,Smith CD,Khaitan L,Lin E

    更新日期:2009-06-01 00:00:00

  • Achalasia-like disorder after laparoscopic adjustable gastric banding: a reversible side effect?

    abstract::Literature data concerning the effect of laparoscopic adjustable gastric banding (LAGB) on esophageal motility are conflicting. Achalasia-like disorder involving the absence of esophageal peristalsis and impaired esophago-gastric junction (EGJ) is probably under-estimated and can result in failure and band removal. Th...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0627-y

    authors: Robert M,Golse N,Espalieu P,Poncet G,Mion F,Roman S,Boulez J,Gouillat C

    更新日期:2012-05-01 00:00:00

  • Effects of gastric band adjustments on intraluminal pressure.

    abstract:BACKGROUND:Understanding of the effects of adjustments to laparoscopic adjustable gastric band (LAGB) volume is limited. Changes in intraluminal pressure may be important and explain patients reporting a tighter LAGB after saline is removed and an identical volume replaced. METHODS:Using high-resolution manometry, cha...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9950-3

    authors: Burton PR,Brown WA,Laurie C,Richards M,Hebbard G,O'Brien PE

    更新日期:2009-11-01 00:00:00

  • Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery.

    abstract::Severe hypocalcemia complicating cervical endocrine surgery in patients with gastric bypass can constitute a major concern. When usual therapies fail to maintain calcemia within the normal range without secondary adverse events, reversal of the bariatric surgery should be considered. We herein report the outcomes of l...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04132-8

    authors: Zaarour M,Zaharia R,Bretault M,Jublanc C,De Marcellus C,Bouillot JL,Lefebvre H,Oppert JM,Aron-Wisnewsky J,Raffin-Sanson ML

    更新日期:2020-04-01 00:00:00

  • Isolated food intolerance after adjustable gastric banding: a major cause of long-term band removal.

    abstract:BACKGROUND:Erosion, slippage, and esophageal dilatation have been acknowledged as typical long-term issues after lap banding. Yet it seems from our experience that isolated food intolerance has become a leading cause for band removal, although not reported as such in the literature. METHODS:There were 1,450 patients w...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9495-x

    authors: Dargent J

    更新日期:2008-07-01 00:00:00

  • A Population-Based Study of Early Postoperative Outcomes in Patients with Heart Failure Undergoing Bariatric Surgery.

    abstract:BACKGROUND:Weight loss following bariatric surgery can improve cardiac function among patients with heart failure (HF). However, perioperative morbidity of bariatric surgery has not been evaluated in patients with HF. STUDY DESIGN:The National Surgical Quality Improvement Project (NSQIP) database for 2006-2014 was que...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3174-3

    authors: Strong AT,Sharma G,Tu C,Aminian A,Young JB,Rodriguez J,Kroh M

    更新日期:2018-08-01 00:00:00

  • A study of discrimination within the medical community as viewed by obese patients.

    abstract:BACKGROUND:Although prejudice may not be verbal in nature, the lack of response from professional and non-professional medical personnel regarding the obese patients' needs (medical equipment, comfortable surroundings, properly fitting attire, etc.), leads one to assume that obese patients continue to be a target of un...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089202321144513

    authors: Kaminsky J,Gadaleta D

    更新日期:2002-02-01 00:00:00

  • Incidental Jejunal Lesion Necessitating Intraoperative Change of Plan During Bariatric Surgery: a Video Case Report.

    abstract::Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was fo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05162-3

    authors: Kumar A,Baksi A,Yadavalli SD,Aggarwal S

    更新日期:2021-01-19 00:00:00

  • A technique for prevention of port complications after laparoscopic adjustable silicone gastric banding.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089202762552791

    authors: Fabry H,Van Hee R,Hendrickx L,Totté E

    更新日期:2002-04-01 00:00:00

  • Mental Illness and Psychotropic Medication use Among People Assessed for Bariatric Surgery in Ontario, Canada.

    abstract:BACKGROUND:Studies completed outside of Canada have reported a high rate of mental illness and psychotropic medication use among bariatric surgery candidates with variable impacts on surgical and mental health outcomes. To our knowledge, there has been no published Canadian data on this issue. METHODS:We conducted a s...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1905-2

    authors: Hensel J,Selvadurai M,Anvari M,Taylor V

    更新日期:2016-07-01 00:00:00

  • Monogenic Obesity Mutations Lead to Less Weight Loss After Bariatric Surgery: a 6-Year Follow-Up Study.

    abstract:OBJECTIVES:Bariatric surgery is emerging as the most effective treatment option for patients with obesity. Hypothalamic arcuate nucleus plays an important role in metabolic homeostasis. However, the influence of mutations related to the feeding center on weight loss after bariatric surgery is still unclear. We aimed to...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-03623-4

    authors: Li Y,Zhang H,Tu Y,Wang C,Di J,Yu H,Zhang P,Bao Y,Jia W,Yang J,Hu C

    更新日期:2019-04-01 00:00:00

  • Employment Outcomes 2 Years After Bariatric Surgery: Relationship to Quality of Life and Psychosocial Predictors.

    abstract:OBJECTIVES:Bariatric surgery is the most effective long-term treatment for severe obesity. In addition to sustained weight loss, bariatric surgery can result in improvements in mental and physical health-related quality of life (HRQOL) and, consequently, work capacity. The purpose of our study was to evaluate changes t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03905-5

    authors: Kantarovich K,Wnuk S,Cassin S,Hawa R,Sockalingam S

    更新日期:2019-09-01 00:00:00

  • The Role of Bariatric Surgery in Abdominal Organ Transplantation-the Next Big Challenge?

    abstract::Obesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightl...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-017-2854-8

    authors: Dziodzio T,Biebl M,Öllinger R,Pratschke J,Denecke C

    更新日期:2017-10-01 00:00:00

  • A successful model of setting up a bariatric practice.

    abstract::Vital for any surgeon choosing to perform bariatric surgery is to be financially savvy. Establishing a practice is not a simple matter. This article will describe how physicians can establish their practice in weight loss medicine. To better insure success, wisdom dictates that one perform a geographical study with re...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-007-9377-7

    authors: Frezza EE,Wachtel MS

    更新日期:2008-07-01 00:00:00

  • Resolution of Female Sexual Dysfunction (FSD) Among the Obese Multiethnic Malaysian Women Now a Reality with Bariatric Surgery: a Prospective Pilot Study in Malaysia.

    abstract:INTRODUCTION:Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03722-w

    authors: Lechmiannandan S,Panirselvam M,Muninathan P,Hussin N,Rajan R,Sidi H,Kosai NR,Vinayak CR

    更新日期:2019-05-01 00:00:00