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Trends in bariatric surgery from 2008 to 2012
Sohaib Khan1, Kathryn Rock1, Arunkumar Baskara1
1The University of Toledo Medical Centerm, 3000 Arlington Ave, Toledo, OH 43614, USA.
American Journal of Surgery
|January 15, 2016
Summary
Bariatric surgery utilization plateaued in the US. Laparoscopic sleeve gastrectomy (LSG) is increasingly preferred over gastric bypass and laparoscopic gastric banding (LGB) due to better outcomes.
Area of Science:
- Bariatric Surgery
- Obesity Treatment
- Surgical Trends
Background:
- Obesity is a growing global health crisis.
- Bariatric surgery is the most effective method for sustained weight loss.
- Understanding bariatric procedure trends is crucial for patient care.
Purpose of the Study:
- To analyze bariatric surgery usage trends in the US from 2008-2012.
- To evaluate patient demographics, procedure types, and outcomes.
- To identify shifts in surgical method popularity.
Main Methods:
- Analysis of Nationwide Inpatient Sample data (2008-2012).
- Utilized International Classification of Disease, 9th Revision codes for bariatric procedures.
- Examined trends in patient characteristics, procedure types, outcomes, and length of stay.
Main Results:
- Laparoscopic sleeve gastrectomy (LSG) use surged from 8.2% (2011) to 39.6% (2012).
- LSG and laparoscopic gastric banding (LGB) showed lower complication rates and shorter lengths of stay.
- Venous thromboembolism rates increased; respiratory complications decreased; mortality remained stable.
Conclusions:
- Overall bariatric procedure utilization has stabilized in the US.
- LSG is emerging as a preferred alternative to gastric bypass and LGB.
- Procedural shifts indicate evolving bariatric surgery practices.
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