Obesity Surgery

, Volume 11, Issue 5, pp 559–564 | Cite as

Starting a Successful Bariatric Surgical Practice in the Community Hospital Setting

  • Kevin L Schoepel
  • Steven E Olchowski
  • Michele W Mathis
  • P Denise Pridgen
  • J Gary Maxwell
Article

Background: 3% of the population is morbidly obese and experience many associated medical problems. Surgical procedures have been shown to achieve sustained weight loss not attainable by other measures, lessening the co-morbidities. However, most general surgeons have been reluctant to expand their practice to include bariatric surgery. The current study demonstrates the benefits of including bariatric surgery in a general surgeon's practice in a community hospital. Methods: Hospital charts of patients undergoing a gastric bypass procedure between 1997 and 2000 were reviewed. Demographic data, co-morbid conditions, intra-operative times, and post-operative weight loss were recorded. Follow-up data was obtained using a mailed survey based on the BAROS survey. Results: 168 patients underwent a Roux-en-Y gastric bypass procedure. Follow-up was obtained for 86 patients. Average pre-operative weight was 141 kg (BMI = 50). There was an average loss of 55% of excess weight by the second post-operative year. Operative times decreased as the number of the procedures performed by the surgeon increased. Over half of the patients surveyed reported improvements for each of the co-morbid conditions that were assessed (i.e., diabetes, back pain, etc.). Five categories of quality of life were assessed, and over 66% of patients reported improvements in all areas. In 44% of the patients, payment was obtained from private insurance and 56% from Medicare or Medicaid. There were no deaths. Conclusion: Adding bariatric surgery to a general surgeon's practice in the community setting can be beneficial to patients, intellectually stimulating and emotionally rewarding for the surgeon, and economically feasible for the institution.

MORBID OBESITY BARIATRIC SURGERY GASTRIC BYPASS ROUX-EN-Y BAROS QUALITY OF LIFE 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer 2001

Authors and Affiliations

  • Kevin L Schoepel
    • Steven E Olchowski
    • Michele W Mathis
    • P Denise Pridgen
    • J Gary Maxwell

    There are no affiliations available

    Personalised recommendations