Kasalický M., Bařinka A., Beňo P., Černý S., Čierny M., Dostalík J., Holéczy P., Hroch T., Hrubý M., Karnos V., Michalský D., Pacholík K., Rejholec J., Svoboda L., Tvarůžek J., Verner T., Volšanský P., Vraný M.: Czech Bariatry in 2010
Authors:
M. Kasalický 1; A. Bařinka 2; P. Beňo 3; S. Černý 4; M. Čierny 5; J. Dostalík 6; P. Holéczy 7; T. Hroch 8; M. Hrubý 9; V. Karnos 10; D. Michalský 11; K. Pacholík 12; J. Rejholec 13; L. Svoboda 14; J. Tvarůžek 15; T. Verner 16; P. Volšanský 17; M. Vraný 18
Authors‘ workplace:
Chirurgická klinika 2. LF UK a ÚVN v Praze
1; Chirurgické oddělení Nemocnice Valašské Meziříčí
2; Chirurgické oddělení Nemocnice Na Homolce, Praha
3; Chirurgické oddělení Nemocnice Na Františku, Praha
4; Chirurgické oddělení, Nemocnice Břeclav
5; Chirurgická klinika, FNO Ostrava
6; Vítkovická nemocnice a. s., Ostrava-Vítkovice
7; Chirurgická klinika FN Hradec Králové
8; Panochova nemocnice, Turnov
9; Chirurgické oddělení FN Plzeň
10; I. chirurgická klinika 1. LF UK a VFN, Praha
11; Chirurgické oddělení, Městská nemocnice v Litoměřicích
12; Chirurgické oddělení, Nemocnice Děčín
13; ISCARE, Praha
14; Nemocnice sv. Zdislavy, Velké Meziříčí
15; Chirurgicko-traumatologické oddělení, Klaudiánova nemocnice, Mladá Boleslav
16; Endoskopické centrum, Oblastní nemocnice Kolín
17; Chirurgické oddělení, Nemocnice Jablonec nad Nisou
18
Published in:
Rozhl. Chir., 2011, roč. 90, č. 4, s. 222-225.
Category:
Monothematic special - Original
Overview
Introduction:
It is only during the past two decades, when obesity has become to be considered a pandemic disorder. However, in 1953 Varco performed jejunoileal bypass as the world’s first bariatric surgical procedure. 30 years later, Pešková performed the first bariatric surgery – a gastroplasty – in Czechoslovakia. From 1984 she started to perform fixed gastric bandages, through laparotomic approach at that time. The first laparoscopic fixed bandage in Czechoslovakia was performed in 1993. Over the years, the number of surgical procedures to treat morbid obesity, as well as the number of bariatric surgeons, continued to increase. In 2004, Czech Bariatric Section of the Czech Surgical Society and the Czech Society of Obesitology of the Czech Medical Association of J. E. Purkyně, were established.
Material and Methods:
170 bariatric surgeries were performed in the Czech Republic in 1999. The majority of procedures included fixed gastric bandage, rarely, adjustable bandage was performed. At that time, bariatric procedures were performed at five sites only. However, over the past 10 years, bariatric surgery has largely developed in the Czech Republic. The exact number of bariatric procedures completed per year was unknown, therefore, 21 surgical clinics, at which bariatric procedures are performed, were contacted from January to June 2010. Heads of the clinics were asked to provide basic data on surgical treatment of obesity. The aim of the study was to analyze the situation in bariatric surgery in the Czech Republic at the end of 2009. A total of 18 clinics (85.8%) joined the study and provided their own statistical data. 14 of them perform over 20 bariatric procedures a year.
Results:
The analysis data showed that, in 2009, a total of 1558 bariatric procedures were completed at 18 surgical clinics and approximately 1600 procedures were performed in the whole Czech Republic. However, out of the total, over 230 patients were foreigners. In 99% of bariatric procedures in morbid obese subjects, laparoscopic approach was used.
Conclusion:
Over the ten year period, the number of clinics performing over 20 bariatric procedures a year increased from five to 14 clinics and the number of bariatric procedures increased from 170 to 1600 procedures a year. It is 900% increase, compared to the year 1999! Nevertheless, compared to other countries, e.g. Austria, the number of bariatric procedures does not correspond with prevalence rates of obesity in the Czech Republic.
Key words:
morbid obesity – bariatric surgery – questionnaire
Sources
1. Kasalický, M. Tubulizace žaludku chirurgická léčba obezity. Triton 2007, s. 11–16.
2. Millerová, D., et al. Obezita – prevence a léčba. Mladá fronta a.s., 2009, s. 17–23.
3. Černý, S., Kopic, J. Výsledky a komplikace laparoskopické adjustabilní bandáže žaludku – 12 let zkušeností. Rozhl. Chir., 2010, 7, s. 427–432.
4. Kasalický, M., Michalský, D., Housová, J., Haluzík, M. Laparoskopická tubulizace žaludku sleeve gastrectomy další možnost bariatrické restrikce příjmu stravy u morbidně obézních jedinců. Rozhl. Chir., 2007, 86 (11), s. 601–606.
5. Kasalický, M., Fried, M., Pešková, M. Historie a současnost chirurgické léčby morbidní obezity. Sbor. Lék., 2001, 102(2). s. 115–122.
6. Fried, M., Pešková, M., Kasalický, M. History and Technical asepects of Bariatric Surgery in The Czech Republic. Obes. Surg., 1997, 7, No. 5, s. 429–431.
7. Cremieux, P. Y., Ledoux, S., Clerici, Ch., et al. The Impact of Bariatric Surgery on Comorbidities and Medication Use Aminy Obese Patiens. Obes. Surg., 2010, 7, s. 861–870.
8. Buchwald, H. Bariatric Surgery. 14th World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders, Paris, 2009.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2011 Issue 4
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