J Metab Bariatr Surg.  2020 Jun;9(1):7-12. 10.17476/jmbs.2020.9.1.7.

Current Status of Bariatric and Metabolic Surgery in Daejeon and Chungcheong Province: Early Experiences after Public Medical Insurance Coverage in 2019

Affiliations
  • 1Department of Surgery, Dankook University Hospital, Cheonan, Korea
  • 2Department of Surgery, Chungbuk National University Hospital, Cheongju, Korea
  • 3Department of Surgery, The Catholic University of Korea, Daejeon St. Mary’s Hospital, Daejeon, Korea
  • 4Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
  • 5Department of Surgery, Cheongju St. Mary’s Hospital, Cheongju, Korea
  • 6Department of Surgery, Eulji University Hospital, Daejeon, Korea
  • 7Department of Surgery, Konyang University Hospital, Korea
  • 8Department of Surgery, Daejeon Sun Hospital, Korea
  • 9Department of Surgery, Chungnam National University Hospital, Daejeon, Korea

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.

Keyword

Bariatric and metabolic surgery; Public medical insurance coverage; Early experiences
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