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KMID : 1033120140030020038
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2014 Volume.3 No. 2 p.38 ~ p.43
2013 Nationwide Bariatric and Metabolic Surgery Report in Korea
Ahn Hye-Seong

Lee Hyuk-Joon
Kang Se-Hoon
Kim Kab-Choong
Kim Seong-Soo
Kim Yong-Jin
Kim Wook
Kim Eung-Kook
Kim Jong-Han
Kim Ji-Heon
Kim Ji-Hoon
Kim Jin-Jo
Ryu Seong-Yeop
Ryu Seung-Wan
Park Do-Joong
Park Sung-Soo
Park Yun-Chan
Park Jung-Min
Seo Kyung-Won
Suh Byoung-Jo
Ahn Sang-Hoon
Ahn Soo-Min
An Ji-Yeong
Lee Sang-Kuon
Lee Joo-Ho
Lee Han-Hong
Lee Hong-Chan
Jeong Gu-Ae
Jeong Mi-Ran
Cho Min-Young
Choi Youn-Baik
Han Sang-Moon
Han Sang-Uk
Hur Kyoung-Yul
Heo Yoon-Seok
Hyung Woo-Jin
Choi Seung-Ho
Abstract
Purpose: The information committee of the Korean Society for Metabolic and Bariatric Surgery (KSMBS) performed the nationwide survey of operations from the first case to the case on 31th Dec 2013. This study is to report the patients¡¯ characteristics, postoperative outcomes after bariatric and metabolic surgery in 2013.

Materials and Methods: The 5,467 cases from 32 institutions were collected by the nationwide survey. Among them, the patients¡¯ demographics and comorbidities, operation characteristics (type, invasiveness, revision, and operative time), and short term outcomes (hospital stay, morbidity and mortality in hospital) of cases in 2013 were analyzed.

Results: In 2013, 1,687 operations in 1,686 cases were performed at 29 institutions. The most frequently performed operation was adjustable gastric banding (1,210, 71.8%), followed by sleeve gastrectomy (236, 14.0%), Roux-en-Y gastric bypass (185,11.0%), and band removal (21,1.2%). The 73.8% of operations were performed in private hospital, in which most commonly performed operation was adjustable gastric banding (89.5%). Mean age of patients was 34.7 years old, and male:female ratio was 1:4.3. Mean body mass index was 36.3 kg/m2. The 65.9% of patients had comorbidities, of which liver disease was most common, followed by hypertension (21.7%), dyslipidemia (17.3%), and diabetes (16.5%). Mean hospital stay after operation was 2.5 days. The 1.9% of cases had morbidities, which was intraabdominal bleeding, wound problem, ileus and so on. And there was no mortality.

Conclusion: This report showed that 1,687 operations in 2013 were safely performed with low morbidity and no mortality. However, it should be considered that there were lots of missing data and further data collection is needed.
KEYWORD
Bariatric and metabolic surgery, Nationwide survey, Morbidity, Mortality
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