Thanos P Kakoulidis1,2, Dag Arvidsson3, Wilhelm Graf4, Magnus Sundbom4. 1. Department of Surgical Sciences, Uppsala University, Entrance 70, SE-751 85, Uppsala, Sweden. tkakoulidis@yahoo.com. 2. Center for Minimally Invasive Surgery, Stockholm, Sweden. tkakoulidis@yahoo.com. 3. Center for Minimally Invasive Surgery, Stockholm, Sweden. 4. Department of Surgical Sciences, Uppsala University, Entrance 70, SE-751 85, Uppsala, Sweden.
Abstract
SETTING: Private clinic, Stockholm, and nation-wide in-hospital care, Sweden. OBJECTIVES: The use of sleeve gastrectomy (SG) for treatment of morbid obesity has increased worldwide, but information about long-term outcome is still limited. Our objective was to evaluate the need for additional in-hospital care after SG for obesity (body mass index [BMI] > 30) in 862 patients, all operated at a single center. METHODS: Two national registries, the Inpatient Registry and the Death Registry, were used to collect long-term data on in-hospital care, grouped by the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and mortality, respectively. RESULTS: In-hospital care for SG-operated females was decreased for four groups of obesity-related ICD-10 diagnoses: endocrine and metabolic diseases and circulatory, digestive, and genitourinary diseases, as well as injuries and poisoning (p < 0.001 for all). However, female SG patients still required in-hospital care above the national level for women of corresponding ages. CONCLUSIONS: Although a significant reduction in in-hospital care was observed, SG patients did not reach national levels.
SETTING: Private clinic, Stockholm, and nation-wide in-hospital care, Sweden. OBJECTIVES: The use of sleeve gastrectomy (SG) for treatment of morbid obesity has increased worldwide, but information about long-term outcome is still limited. Our objective was to evaluate the need for additional in-hospital care after SG for obesity (body mass index [BMI] > 30) in 862 patients, all operated at a single center. METHODS: Two national registries, the Inpatient Registry and the Death Registry, were used to collect long-term data on in-hospital care, grouped by the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and mortality, respectively. RESULTS: In-hospital care for SG-operated females was decreased for four groups of obesity-related ICD-10 diagnoses: endocrine and metabolic diseases and circulatory, digestive, and genitourinary diseases, as well as injuries and poisoning (p < 0.001 for all). However, female SG patients still required in-hospital care above the national level for women of corresponding ages. CONCLUSIONS: Although a significant reduction in in-hospital care was observed, SG patients did not reach national levels.
Entities:
Keywords:
Class I obesity; Complications; In-hospital care; Long-term; Reoperations; Sleeve gastrectomy
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