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Related Concept Videos

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Related Experiment Video

Updated: Oct 3, 2025

Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
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Gastrectomy mortality in Australia.

Sean S Davis1,2, Darcy Noll2, Prajay Patel2

  • 1Discipline of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Adelaide, South Australia, Australia.

ANZ Journal of Surgery
|February 18, 2022
PubMed
Summary
This summary is machine-generated.

The Australian gastrectomy perioperative mortality rate (POMR) has significantly decreased, showing favorable outcomes compared to international standards. This improvement was consistent across all regions and states, despite a trend towards metropolitan centralization.

Keywords:
gastrectomygeneral surgerymortalityupper gut

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Public Health

Background:

  • Gastrectomy is a high-risk surgery for upper gastrointestinal conditions.
  • No prior Australian studies have analyzed gastrectomy perioperative mortality rates (POMR).

Purpose of the Study:

  • To determine the national gastrectomy POMR in Australia.
  • To assess state-based, regional trends, and outcomes of gastrectomy.

Main Methods:

  • Retrospective, population-based cohort study using Australian Institute of Health and Welfare data (2005-2017).
  • Extracted data using Australian Classification of Health Interventions codes for total and subtotal gastrectomy.
  • Risk-adjusted mortality rates for age and gender; investigated temporal trends and geographical variations.

Main Results:

  • National average POMR was 2.1%, with subtotal gastrectomy at 1.1% and total gastrectomy at 2.8%.
  • POMR significantly decreased over time for both procedures (2005-2017).
  • Procedure volume shifted from rural to metropolitan centers without impacting outcomes.

Conclusions:

  • Australian gastrectomy POMR is favorable internationally.
  • Outcomes improved consistently across all Australian states, territories, and regions.
  • Metropolitan centralization of gastrectomy occurred without demonstrable outcome improvement.