Current Status of Bariatric and Metabolic Surgery in Daejeon and Chungcheong Province: Early Experiences after Public Medical Insurance Coverage in 2019
- Author:
Dong-Wook KIM
1
;
Dae Hoon KIM
;
Jeong Goo KIM
;
Myoung Won SON
;
Geum Jong SONG
;
Seong-il OH
;
Han Mo YOO
;
Moon-Soo LEE
;
Sang Kuon LEE
;
Sang Eok LEE
;
Ye Seob JEE
;
Seong Ho HWANG
;
Si Eun HWANG
;
Sang-Il LEE
Author Information
- Publication Type:ORIGINAL ARTICLE
- From:Journal of Metabolic and Bariatric Surgery 2020;9(1):7-12
- CountryRepublic of Korea
- Language:0
-
Abstract:
Purpose:This study aimed to investigate the current status of bariatric and metabolic surgery in Daejeon and Chungcheong province and to describe the early experiences after public medical insurance coverage in 2019.
Materials and Methods:Between January 2019 and August 2019, 64 cases of bariatric and metabolic surgery were performed in patients with morbid obesity or uncontrolled type 2 diabetes. We prospectively collected and analyzed data regarding the patients’ demographics and comorbidities, surgical results, and early complications. The patient information before and after the insurance coverage was also compared.
Results:The number of surgeries in 9 years has been caught up only in the last 8 months after insurance coverage (58 vs. 64 patients). The mean body mass index was 37.7±5.8 kg/m2 (range, 22.7-52.1 kg/m2). The most frequently performed surgery was sleeve gastrectomy (53 cases, 82.8%), followed by Roux-en-Y gastric bypass (9 cases, 14.1%), and adjustable gastric banding (2 cases, 3.1%). Postoperative complications occurred in 6 patients (9.4%), and there was no mortality. The mean operation time (225.3±85.4 vs. 156.1±61.8 min, P＜0.001) and postoperative stay (5.9±4.5 vs. 4.3±2.0 days, P=0.013) after the insurance coverage were significantly shorter than those before the insurance coverage.
Conclusion:We could assess the patients who had bariatric and metabolic surgery in Daejeon and Chungcheong province after public medical insurance coverage in 2019.
