Quality control analysis of bariatric and metabolic surgery in Shanghai:Data from 2012 to 2023
Group of Experts of Bariatric and Metabolic Surgery,Shanghai General Surgery Clinical Quality Control Center
Bariatric and Metabolic Surgeon Work Group,College of Surgeon,Shanghai Medical Doctor Association
LOU Wen-hui
ZHANG Pin
Abstract：Objective Based on the quality control database for bariatric and metabolic surgery in Shanghai,this study analyzes the trends and advancements in bariatric and metabolic surgeries in Shanghai from 2012 to 2023.Methods A retrospective analysis of data on bariatric and metabolic surgeries conducted in Shanghai from 2012 to 2023 was performed.The data were analyzed by demographic characteristics,types of bariatric & metabolic surgeries,and perioperative variables to reflect the development trends of these surgeries over the past 12 years.Results From 2012 to 2023,a total of 9282 bariatric and metabolic surgeries were performed in Shanghai.The number of surgeries per year increased from 100 in 2012 to 1430 in 2023.The overall demographic characteristics of this database during the 12 years are as follows:the female-to-male patient ratio was 2.16:1.The baseline average BMI was 38.7±7.3.Preoperative comorbidity of type 2 diabetes was present in 32.4％of patients.Postoperative severe complications occurred in 0.4％of cases,and the reoperation rate within 30 days was 0.2％.Most patients(66.5％)were from Shanghai.Since 2014,sleeve gastrectomy(SG)has been the predominant surgical method,with a total of 8162 SG procedures,representing 87.5％of the cases.Roux-en-Y gastric bypass(RYGB)accounted for 7.7％(717 cases),and exploratory surgeries comprised 3.7％(348 cases).Between 2019 and 2023,55 corrective surgeries were recorded,primarily among patients who had undergone SG.The most common corrective procedure was r-SADI-S(32.7％),followed by r-OAGB(21.8％)and r-RYGB(18.2％).There were 26 cases of severe postoperative complications,accounting for 0.4％.Conclusion Over the past twelve years,the number of bariatric and metabolic surgeries in Shanghai has steadily increased.Since 2014,SG has become the primary surgical method,with RYGB remaining the second most common procedure.Since 2021,SADI-S and OAGB have been the main corrective surgical options in Shanghai.With effective quality control management,the incidence of perioperative complications remains very low.
Keywords：bariatric and metabolic surgeryShanghaisleeve gastrectomyRoux-en-Y gastric bypassquality control
Publication Date：2024-08-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 900-905 )