Original Article
2013 Nationwide Bariatric and Metabolic Surgery Report in Korea
Hye Seong Ahn,1
Hyuk-Joon Lee,2
Se Hoon Kang,3
Gab Joong Kim,3,4
Seong Soo Kim,5
Young-Jin Kim,6
Wook Kim,7
Eung Kook Kim,7
Jong-Han Kim,8
Ji Heon Kim,9
Ji Hoon Kim,10
Jin-Jo Kim,11
Seong Yeob Ryu,12
Seung Wan Ryu,13
Do-Joong Park,14
Sung-Soo Park,15
Yoon-Chan Park,16
Joong-Min Park,17
Kyung Won Seo,18
Byoung Jo Suh,19
Sang-Hoon Ahn,14
Soo Min Ahn,20
Ji-Young Ahn,21
Sang Kuon Lee,7,22,23
Joo Ho Lee,24
Han Hong Lee,25
Hong Chan Lee,26
Gui-Ae Jeong,27
Mi Ran Jeong,12
Ming-Young Cho,28
Youn Baik Choi,4
Sang-Moon Han,29
Sang-Uk Han,30
Kyoung Yul Hur,6
Yoon-Seok Heo,31
Woo Jin Hyung,21
Seung Ho Choi,32
and on behalf of the Information Committee of the Korean Society of Bariatric and Metabolic Surgery
-
1Department of Surgery, Seoul National University-SMG Boramae Hospital, Korea.
-
2Department of Surgery, Seoul National University Hospital, Korea.
-
3Department of Surgery, Seoul Sky Hospital, Korea.
-
4Department of Surgery, Asan Medical Center, Korea.
-
5Department of Surgery, Chosun University Hospital, Korea.
-
6Department of Surgery, Soon Chun Hyang University Seoul Hospital, Korea.
-
7Department of Surgery, Catholic University of Korea, Yeouido St. Mary's Hospital, Korea.
-
8Department of Surgery, Korea University Ansan Hospital, Korea.
-
9Department of Surgery, Wellness Hospital, Korea.
-
10Department of Surgery, Gangneung Asan Hospital, Korea.
-
11Department of Surgery, Catholic University of Korea, Incheon St. Mary's Hospital, Korea.
-
12Department of Surgery, Chonnam National University Hwasun Hospital, Korea.
-
13Department of Surgery, Keimyung Univsity Dongsan Hospital, Korea.
-
14Department of Surgery, Seoul National University Bundang Hospital, Korea.
-
15Department of Surgery, Korea University Anam Hospital, Korea.
-
16Department of Surgery, Seoul Slim Surgery, Korea.
-
17Department of Surgery, Chung-Ang University Hospital, Korea.
-
18Department of Surgery, Kosin University Gospel Hospital, Korea.
-
19Department of Surgery, Inje University Haeundae Paik Hospital, Korea.
-
20Department of Surgery, Hallym University Sacred Heart Hospital, Korea.
-
21Department of Surgery, Yonsei University Severance Hospital, Korea.
-
22Department of Surgery, Catholic University of Korea, Seoul St. Mary's Hospital, Korea.
-
23Department of Surgery, Catholic University of Korea, Daejeon St. Mary's Hospital, Korea.
-
24Department of Surgery, Ewha Medical Center, Korea.
-
25Department of Surgery, Catholic University of Korea, Uijeongbu St. Mary's Hospital, Korea.
-
26Department of Surgery, Chan BariART Clinic, Korea.
-
27Department of Surgery, Soon Chun Hyang University Bucheon Hospital, Korea.
-
28Department of Surgery, 365mc Hospital, Korea.
-
29Department of Surgery, CHA University Hospital, Korea.
-
30Department of Surgery, Ajou University Hospital, Korea.
-
31Department of Surgery, Inha University Hospital, Korea.
-
32Department of Surgery, Yonsei University Gangnam Severance Hospital, Korea.
Received November 28, 2014; Revised December 05, 2014; Accepted December 10, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
