Jul 11, 2008 - Hilton Buenos Aires Hotel - Buenos Aires, Argentina ..... Methods We retrospectively reviewed our obesity surgery database to find all.
OBES SURG (2008) 18:911–980 DOI 10.1007/s11695-008-9578-8
ABSTRACTS
International Federation for the Surgery of Obesity and metabolic disorders. XIII World Congress Hilton Buenos Aires Hotel - Buenos Aires, Argentina September 24–27, 2008
Published online: 11 July 2008
General Session Abstracts O1 A Nationwide Survey on Bariatric Surgery in France: Two Years Prospective Follow-Up and Predictive Factors of Outcome J.M. Chevallier1, M. Paı¨ta2, M.H. Rodde-Dunet2, M. Marty2, F. Nogue`s2, K. Slim3, A. Basdevant4 1
Assistance Publique-Hoˆpitaux de Paris, Hoˆpital Europe´en Georges Pompidou, Universite´ Paris 5, France; 2Caisse Nationale d’Assurance Maladie, CNAM-TS, Paris, France; 3Chirurgie Digestive, CHU Clermont-Ferrand, France; 4Assistance Publique-Hoˆpitaux de Paris, Hoˆpital Pitie´- Salpe´trie`re, Universite´ Paris 6, Inserm Nutriomique u755, France Background Studies on bariatric surgery outcomes have been performed in clinical trials or reflect the practice of experienced centers. Little is known about the current practice at a nationwide level. Methods this is a systematic nationwide study on the 2-year outcome of all consecutive 1236 bariatric operations performed in France in December 2002 and January 2003. Data were collected independently by consultants of the French National Medical Insurance Service. For adjustable gastric banding (AGB) Excess Weight Loss (EWL) >50% was considered as a success and compared to 15 different data on chi2 tests and backstep regression. Results 87.3% of the patients underwent a ABG, 8.6% a vertical banded gastroplasty (VBG), 3.8% a Roux-en-Y gastric bypass (RYGBP) and 0.3% a biliopancreatic diversion (BPD). Loss of follow-up was 12% at year 1 and 18% at year 2. The rate of laparoscopic procedures was 98% (ABG) and 73% (RYGBP). Mortality rate was 0.16% in the operative period and 0.27% during follow-up. EWL ranged from 43%(AGB) to 65% (RYGBP). Comorbidities improved in more than 70% of patients. For AGB statistical analysis showed that age (50%. Conclusions Outcomes of bariatric surgery in routine practice are similar to the results published in clinical trials. The best profile for a success after AGB is a patient 40%EWL and GrB(25pts)60 kg/m2 have a greater operative risk and therefore advocate a staged approach to bariatric surgery. However, this requires two separate operations and all associated
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risks. At our institution, we do not perform staged bariatric surgeries for these patients; we execute a single stage LGBP. We analyzed our experience in this population after a single stage LGBP. Methods 95 patients with a BMI>60 kg/m2 were compared to 1311 patients with a BMI
