Obesity Surgery

, Volume 19, Issue 5, pp 632–640 | Cite as

Results of Sleeve Gastrectomy—Data from a Nationwide Survey on Bariatric Surgery in Germany

  • Christine Stroh
  • D. Birk
  • R. Flade- Kuthe
  • M. Frenken
  • B. Herbig
  • S. Höhne
  • H. Köhler
  • V. Lange
  • K. Ludwig
  • R. Matkowitz
  • G. Meyer
  • P. Pick
  • Th. Horbach
  • S. Krause
  • L. Schäfer
  • M. Schlensak
  • E. Shang
  • T. Sonnenberg
  • M. Susewind
  • H. Voigt
  • R. Weiner
  • S. Wolff
  • A. M. Wolf
  • U. Schmidt
  • H. Lippert
  • Th. Manger
  • Bariatric Surgery Working Group
Current Status

Abstract

Background

Beginning January 1, 2005, the status and outcomes of bariatric surgery were examined in Germany. Data are registered in cooperation with the An-Institute of quality assurance in surgery at the Otto-von-Guericke-University Magdeburg. The objective of this study was to examine the morbidity and mortality rates secondary to sleeve gastrectomy (SG) in Germany since 2006.

Methods

Data collection occurred prospectively in an online data bank. All primary bariatric procedures performed were recorded as were all re-operations in patients that had already undergone a primary operation. Specific data compiled on the sleeve gastrectomy procedure were evaluated with a focus on operative details and complication rates.

Results

The total study cohort contains 3,122 patients. From January 2006 to December 2007, 144 sleeve gastrectomy procedures were performed in the 17 hospitals participating in the study. The mean body mass index (BMI) of all patients was 48.8 kg/m2. The BMI of patients undergoing SG was 54.5 kg/m2. In total, 73.8% of the patients were female and 26.2% of the patients were male. There were no significant differences between patients undergoing SG. The general complication rate after SG was 14.1%, and the surgical complication rate was 9.4%. The postoperative mortality rate was 1.4%.

Conclusions

The complication rate during the first 2 years after SG in Germany is similar to that published in the literature. In order to improve the quality of bariatric surgery, an evaluation of data from a German multicenter trial is necessary to evaluate the position of SG in the bariatric algorithm.

Keywords

Bariatric surgery Sleeve gastrectomy German multicenter trial 

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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Christine Stroh
    • 1
    • 26
  • D. Birk
    • 2
  • R. Flade- Kuthe
    • 3
  • M. Frenken
    • 4
  • B. Herbig
    • 5
  • S. Höhne
    • 6
  • H. Köhler
    • 7
  • V. Lange
    • 8
  • K. Ludwig
    • 9
  • R. Matkowitz
    • 10
  • G. Meyer
    • 11
  • P. Pick
    • 12
  • Th. Horbach
    • 13
    • 24
  • S. Krause
    • 14
  • L. Schäfer
    • 15
  • M. Schlensak
    • 16
  • E. Shang
    • 17
  • T. Sonnenberg
    • 18
  • M. Susewind
    • 19
  • H. Voigt
    • 20
  • R. Weiner
    • 21
  • S. Wolff
    • 22
  • A. M. Wolf
    • 23
  • U. Schmidt
    • 25
  • H. Lippert
    • 22
    • 26
  • Th. Manger
    • 1
    • 26
  • Bariatric Surgery Working Group
  1. 1.Department of General, Abdominal, and Pediatric SurgeryMunicipal Hospital (Teaching Hospital of the Friedrich-Schiller University at Jena, Germany)GeraGermany
  2. 2.Protestantian HospitalZweibrückenGermany
  3. 3.DRK ClementinenhausHannoverGermany
  4. 4.St. Josef-HospitalMonheimGermany
  5. 5.DiakonissenhausHamburgGermany
  6. 6.Hospital BurglengenfeldBurglengenfeldGermany
  7. 7.Hospital Herzogin-HeimBraunschweigGermany
  8. 8.Schlosspark-HospitalBerlinGermany
  9. 9.Hospital Rostock South CityRostockGermany
  10. 10.Surgical Department and Bariatric Centre FrankfurtFrankfurtGermany
  11. 11.Surgical Department Hospital Munich BogenhausenMunichGermany
  12. 12.Aesculap-West ClinicHamburgGermany
  13. 13.Department of SurgeryFriedrich Alexander UniversityErlangen-NurembergGermany
  14. 14.Hospital ToenningToenningGermany
  15. 15.Hospital WaldkirchenWaldkirchenGermany
  16. 16.Protestantian HospitalDinslakenGermany
  17. 17.Department of SurgeryUniversity HospitalMannheimGermany
  18. 18.Dominikus Hospital DüsseldorfDüsseldorfGermany
  19. 19.MIC Clinic BerlinBerlinGermany
  20. 20.St. Vinzenz Krankenhaus HanauHanauGermany
  21. 21.Hospital SachsenhausenFrankfurt/MainGermany
  22. 22.Department of SurgeryOtto-von-Guericke UniversityMagdeburgGermany
  23. 23.Department of SurgeryUniversity HospitalUlmGermany
  24. 24.Municipal Hospital SchwabachSchwabachGermany
  25. 25.StatConsult MagdeburgMagdeburgGermany
  26. 26.Institution of Quality assurance in operative therapy at the Otto-von-Guericke University MagdeburgMagdeburgGermany

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