中国实用外科杂志2024,Vol.44Issue(5):552-563,570,13.DOI:10.19538/j.cjps.issn1005-2208.2024.05.15
大中华减重与代谢手术数据库2023年度报告
Greater China metabolic and bariatric surgery database registry report(2023)
摘要
Abstract
Objective To summarize the metabolic and bariatric surgery cases performed in China in 2023.Methods The data of this observational study was extracted from the Greater China Metabolic and Bariatric Surgery Database(GC-MBD)to evaluate the prevalence of metabolic and bariatric surgery in China.Demographic characteristics,obesity-related diseases and surgery information were analyzed.Results In 2023,62 centers from 21 provinces/province-level municipalities in China registered a total of 10525 cases.The patients'median(minimum,maximum)BMI before the surgery was 37.9(25.0,80.1).The proportion of female patients was 71.1%,with a median(minimum,maximum)age of 33(8,80)years,while the proportion of males was 28.9%,with a median(minimum,maximum)age of 32(10,72)years.In addition,27.4%of patients had a history of type 2 diabetes,90.6%of patients had a history of fatty liver disease,51.7%had a history of hypertension,57.3%of obstructive sleep apnea hypopnea syndrome(OSAHS),18.5%polycystic ovary syndrome(PCOS)in female patients,25.5%reflux esophagitis(RE)before operation.Among all procedures,87.74%were sleeve gastrectomy(SG),4.91%sleeve gastrectomy with jejunojenunal bypass(SG-JJB),2.67%one anastomosis gastric bypass(OAGB),2.19%sleeve gastrectomy with transit bipartition(SG-TB),1.64%Roux-en-Y gastric bypass(RYGB),0.67%single-anastomosis duodenal-ileal bypass with sleeve gastrectomy/one anatomosis duodenal switch(SADI-S/OADS),0.07%sleeve gastrectomy with loop duodenojejunal bypass(SG-LDJB),0.01%sleeve gastrectomy with duodenojejunal bypass(SG-DJB),and 0.10%other operation types.Conclusion Based on the analysis of the year 2023 data,this report summarized the clinical characteristics and practice status in patients who underwent metabolic and bariatric surgery,mainly manifested as high BMI levels,the majority of female patients,a high proportions of obesity-related diseases before surgery,and SG still being the mainstream surgical procedure in China.This study reflects the disciplinary development trends of metabolic and bariatric surgery in China,providing an important basis for comparison with previous annual and international data.关键词
减重与代谢手术/数据库/年度报告/肥胖Key words
metabolic and bariatric surgery/clinical database/registry report/obesity分类
医药卫生引用本文复制引用
李梦伊,刘洋,张松海,吕金利,梁晓宇,徐东升,蔺宏伟,林建贤,丁印鲁,孟凡强,韩加刚,刘雁军,王举,毛忠琦,姚立彬,赵象文,艾克拜尔·艾力,尹剑辉,张建成,韩建立,张能维,吴立胜,王桂琦,李广丽,姜涛,朱利勇,王军,吴良平,王兵,韩威,李智飞,朱晒红,克力木·阿不都热依木,于卫华,胡三元,张鹏,张忠涛,代表大中华减重与代谢手术数据库研究者团队,辛贺,李滢旭,姚琪远,李震,刘少壮..大中华减重与代谢手术数据库2023年度报告[J].中国实用外科杂志,2024,44(5):552-563,570,13.基金项目
国家科技支撑计划课题(No.2015BA113B09) (No.2015BA113B09)