Circular versus Linear versus Hand-Sewn Gastrojejunostomy in Roux-en-Y-Gastric Bypass: Data Analysis from a Quality Assurance Study of the Surgical Treatment of Obesity in Germany
Circular versus Linear versus Hand-Sewn Gastrojejunostomy in Roux-en-Y-Gastric Bypass: Data Analysis from a Quality Assurance Study of the Surgical Treatment of Obesity in Germany作者机构：DRK Hospital Berlin Koepenick Germany Helios Hospital Bad Saarow Germany Sachsenhausen Hospital Frankfurt/Main Germany SRH Municipal Hospital Gera Germany StatConsult Magdeburg Germany University Hospital Magdeburg Germany
出 版 物：《Surgical Science》 (外科学（英文）)
年 卷 期：2014年第5卷第7期
页 面：280-289页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Roux-en-Y-Gastric Bypass Circular versus Linear versus Hand-Sewn Anastomosis Complications
摘 要：Background: Since January 12005, the outcomes of bariatric surgeries have been recorded in Germany. All data are registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at Otto-von-Guericke University Magdeburg.?Methods: Data are collected in an online data bank. Data collection began in 2005 for the results of Roux-en-Y Gastric Bypass (RYGB). In addition to primary bariatric operations, data regarding the complications and the amelioration of comorbidities have been analyzed. Participation in the quality assurance study is required for all certified centers in Germany.?Results: Roux-en-Y Gastric Bypass is the most popular bariatric operation in Germany. There were 5115 operations performed from 2005 to 2010. A circular anastomosis was performed in 1587 patients, and a linear anastomosis was performed in 2734 patients. In 783 patients the hand-sewn technique was used. The leakage rate for the linear technique is 1.6%, and the leakage rate is 1.2% for circular anastomosis and 1.4% for hand-sewn technique. The overall postoperative complication rate was significantly higher using the circular technique than using the linear or hand-sewn approach.?Conclusion: RYGB is a popular procedure in Germany. The complication rate has decreased since 2005. A comparison of hand sewn versus linear and versus circular anastomosis indicated a higher complication rate in circular gastrojejunal junctions.
维普期刊数据库