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THE INTERNATIONAL BARIATRIC SURGERY REGISTRY (IBSR)The purpose of the International Bariatric Surgery Registry (IBSR), formerly known as the National Bariatric Surgery Registry (NBSR), is to promote optimum care of patients undergoing surgical treatment of severe obesity. Development of the centralized IBSR data base has provided standardized clinical data collection and analysis for the surgical treatment of obesity. One goal of the IBSR is to enable Bariatric surgeons to evaluate and improve his/her expertise and benefit from the combined experience of all participants. In 1997, the IBSR published 10 year results.(37) Males comprised 13% of 14,641 patient records in the data set. Mean age at operation was 37± 9.4 years. Operative weight was 127 ± 27.4 kilograms and the Body Mass Index was 46 ± 8.3 kg/m2. Vertical Banded Gastroplasty (VBG) was the most frequently reported Bariatric procedure performed (36.3%). VBG was followed by the Roux-en-Y Gastric Bypass (RGB) with 29.5%; Silastic Ring Gastroplasty was 9.9%; and Distal Roux-en-Y gastric Bypass (DRGB) 9.0%. The remaining 15.3% of the procedures were grouped according to the degree of operative complexity. An increase in variation and complexity of procedures was noted in the last quarter of the decade which began A subset of records with complete information for perioperative complications and postoperative hospital stay was analyzed for dominant complication. (38) Mean postoperative hospital stay was reported to be 4.7 days (±2.7). Within 30 days of operation, no perioperative complications were reported for 93.37% of the patients. Major (1.35%) and minor (5.28%) perioperative complications were defined according to length of postoperative stay (Table 1). Table 1: PERIOPERATIVE COMPLICATIONS - within 30 days of operations MINOR (postoperative hospital stay was less than 7 days) MAJOR (postoperative hospital stay equal or greater than 7 days)
Twenty-five deaths were reported to have occurred within 30 days of operation, for an operative mortality rate of 0.17%. Pulmonary embolism was the most frequent reported cause of operative death (n=9) |
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