Long-term follow-up after bariatric surgery in a national cohort

• DOI: 10.1002/bjs.10557
• Publication Date: 2017-06-28T10:26:38Z
• Authors: J Thereaux; T Lesuffleur; M Païta; S Czernichow; A Basdevant; S Msika; B Millat; A Fagot-Campagna
• Keywords: Adult; Male; [SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery; Adolescent; [SDV]Life Sciences [q-bio]; Aftercare; Bariatric Surgery; [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery; Young Adult; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Humans; Obesity; Referral and Consultation; Aged; [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology; Hematologic Tests; Middle Aged; 3. Good health; [SDV] Life Sciences [q-bio]; Hospitalization; Treatment Outcome; Dietary Supplements; Insurance, Health, Reimbursement; Patient Compliance; Female; France; [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology

Abstract Background Lifelong medical follow-up is mandatory after bariatric surgery. The aim of this study was to assess the 5-year surgery in a nationwide cohort patients. Methods All adult obese patients who had undergone primary 2009 France were included. Data extracted from French national health insurance database. Medical (medical visits, micronutrient supplementation and blood tests) during first 5 years assessed, compared with international guidelines. Results Some 16 620 included study. percentage at least one reimbursement for supplements decreased between fifth iron (from 27.7 24.5 per cent; P < 0.001) calcium 14·4 7·7 0·001), but increased vitamin D 33·1 34·7 0·001). or more visits surgeon years, 87·1 29·6 cent (P 0·001); similar decreases observed nutritionist/endocrinologist 22·8 12·4 0·001) general practitioner 92·6 83·4 mean number 7·0 6·1 respectively. In multivariable analyses, male sex, younger age, absence type 2 diabetes poor 1-year predictors follow-up. Conclusion Despite clear guidelines, long-term poor, especially young men early