Review

Obesity Surgery

, Volume 23, Issue 8, pp 1324-1332

First online:

Bariatric Surgery Outcomes in a European Centre of Excellence (CoE)

  • José Manuel FortAffiliated withEndocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC
  • , Ramon VilallongaAffiliated withEndocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC Email author 
  • , Albert LecubeAffiliated withObesity Unit, Endocrinology Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC
  • , Oscar GonzalezAffiliated withEndocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC
  • , Enric CaubetAffiliated withEndocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC
  • , Jordi MesaAffiliated withObesity Unit, Endocrinology Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC
  • , Manel ArmengolAffiliated withEndocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC

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Abstract

Bariatric Surgery Centres of Excellence have been promoted by the International Federation for the Surgery of Obesity and Metabolic Disorders European Chapter to improve outcomes and security of patients. A retrospective analysis of our prospective database has been performed. Between May 2001 and September 2012, we operated on 690 patients, first with open gastric bypass (2001–2005), then laparoscopy (2006–2009), introduced robotics and finally the Centre of Excellence period (2012). Complication rate was 18.9 % in the first period and 3 % in the last. We reoperated on 9 % of patients in two early periods and none in the last. Mortality rate was 2, 0.85, 0.47 and 0 % in the four periods. Teams that are just at the beginning of their experience in bariatric surgery in order to avoid complications and deal with better long-term results.

Keywords

Obesity Surgery Experience Complications Mortality Centre of Excellence