Komplikationen nach bariatrischer Operation innerhalb von fünf Jahren nach dem Eingriff [thesis]

Dirk Bleymehl, Universitätsbibliothek Der FU Berlin
2021
The surgical treatment of obese patients is becoming increasingly important. Depending on the BMI and concomitant diseases, cost commitments can be made by the health insurance companies. Various surgical methods, all of which are primarily performed laparoscopically, are available. The Complication management is an important pillar in the treatment strategy. Material and methodology: 358 patients who underwent bariatric surgery in 2011 were re-examined over a period of 5 years. In particular,
more » ... rs. In particular, complications and follow-up behaviour were investigated. The patients could be divided into 2 groups, patients with migration background (n=96, 26,8%) and patients without migration background (n=262, 73,2%). Results: The Germans were on average 6 years older and sicker than the patients from the migrant group (3.78 vs. 2.75 comorbidities), the BMI pre-op was equal (45.94 kg/m2 vs. 46.01 kg/m2). In the year of the operation and in the following year, up to 85.11 % of the patients were still on average up to 5 times a year for follow-up, after which the number of followup examinations and the number of patients who came for follow-up decreased. Only 11.46% of migrants were examined 0.61 times, slightly more among Germans with 19,85%. Within 5 years after surgery, 18.64% of Germans and 12.94% of migrants were readmitted as inpatients. The major complication rate in the study period "more than 30 days after surgery" was similar in the migrant group and the German group (14.12 % vs. 13.18 %). The weight loss of the Migrants was greater than that of the Germans (70.85 %EWL vs. 64.72 %EWL). Summary: To achieve a good outcome and a permanent weight loss, regular follow-up examinations are necessary. Complications can thus be detected early and treated accordingly.
doi:10.17169/refubium-28791 fatcat:wl2nxmswpjadhjyokyhhcezoiu