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KMID : 1033120200090010007
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대한비만대사외과학회지
2020 Volume.9 No. 1 p.7 ~ p.12
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Current Status of Bariatric and Metabolic Surgery in Daejeon and Chungcheong Province: Early Experiences after Public Medical Insurance Coverage in 2019
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Kim Dong-Wook
Kim Dae-Hoon
Kim Jeong-Goo
Son Myoung-Won
Song Geum-Jong
Oh Seong-Il
Yoo Han-Mo
Lee Moon-Soo
Lee Sang-Kuon
Lee Sang-Eok
Jee Ye-Seob
Hwang Seong-Ho
Hwang Si-Eun
Lee Sang-IL
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Abstract
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Purpose: This study aimed to investigate the current status of bariatric and metabolic surgery in Daejeon and Chungcheong province and to describe the early experiences after public medical insurance coverage in 2019.
Materials and Methods: Between January 2019 and August 2019, 64 cases of bariatric and metabolic surgery were performed in patients with morbid obesity or uncontrolled type 2 diabetes. We prospectively collected and analyzed data regarding the patients’ demographics and comorbidities, surgical results, and early complications. The patient information before and after the insurance coverage was also compared.
Results: The number of surgeries in 9 years has been caught up only in the last 8 months after insurance coverage (58 vs. 64 patients). The mean body mass index was 37.7±5.8 kg/m2 (range, 22.7-52.1 kg/m2). The most frequently performed surgery was sleeve gastrectomy (53 cases, 82.8%), followed by Roux-en-Y gastric bypass (9 cases, 14.1%), and adjustable gastric banding (2 cases, 3.1%). Postoperative complications occurred in 6 patients (9.4%), and there was no mortality. The mean operation time (225.3±85.4 vs. 156.1±61.8 min, P<0.001) and postoperative stay (5.9±4.5 vs. 4.3±2.0 days, P=0.013) after the insurance coverage were significantly shorter than those before the insurance coverage.
Conclusion: We could assess the patients who had bariatric and metabolic surgery in Daejeon and Chungcheong province after public medical insurance coverage in 2019.
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KEYWORD
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Bariatric and metabolic surgery, Public medical insurance coverage, Early experiences
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