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The Changing Bariatric Surgery Landscape in the USA
Konstantinos Spaniolas1, Kevin R Kasten, Jason Brinkley
1Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC, USA, SPANIOLASK@ecu.edu.
Obesity Surgery
|June 15, 2015
Summary
Sleeve gastrectomy (SG) has rapidly become the most common bariatric procedure in the USA, surpassing Roux-en-Y gastric bypass (RYGB). This trend highlights the need for long-term data on SG outcomes.
Area of Science:
- Bariatric Surgery Trends
- Surgical Outcomes Research
- Health Services Research
Background:
- Roux-en-Y gastric bypass (RYGB) historically dominated bariatric surgery in the USA.
- Sleeve gastrectomy (SG) has emerged as a popular alternative, with some reports indicating its increased adoption.
Purpose of the Study:
- To analyze nationwide trends in bariatric surgical procedures from 2010 to 2013.
- To compare the adoption rates of laparoscopic sleeve gastrectomy (SG) versus Roux-en-Y gastric bypass (RYGB).
Main Methods:
- Utilized data from the National Surgical Quality Improvement Program (NSQIP).
- Analyzed a cohort of 74,790 bariatric surgery patients.
- Assessed procedural trends over a four-year period (2010-2013).
Main Results:
- A significant shift in bariatric procedure trends was observed between laparoscopic RYGB and SG.
- By 2013, sleeve gastrectomy (SG) became the most frequently performed bariatric procedure, accounting for 49.4% of cases.
- Demonstrated an exponential increase in the adoption of SG nationwide.
Conclusions:
- Sleeve gastrectomy (SG) has experienced rapid and widespread adoption, becoming the leading bariatric procedure in the United States.
- There is an urgent need for longitudinal, prospective studies to evaluate the long-term efficacy and safety of SG.
- Healthcare providers, patients, and funding bodies should be aware of this significant shift in surgical practice and the necessity for long-term outcome data.
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