Publications (42) View all
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Article: [Amelanotic Rectal Melanoma - Additional Comments on the Basis of a Specific Special Case of Jongen et al.]
Zentralblatt für Chirurgie 11/2012; · 1.02 Impact Factor -
Article: [New Data on Quality Assurance in Bariatric Surgery in Germany.]
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ABSTRACT: Background: Since January 1st 2005, the situation of bariatric surgery has been examined in Germany. All data are registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at the Otto-von-Guericke University of Magdeburg. Methods: The voluntary data registration occurs in an internet online data bank. All primary bariatric procedures as well as re- and redo-procedures are documented. Follow-up data were collected once a year. Participation in the quality assurance study is obligatory for certificated centres. Results: Since 2005 13 879 bariatric procedures have been performed at 83 hospitals. The number of primary procedures has increased from 596 in 2005 to 11 835 in 2010. Revisional surgery has been performed in 1438 patients since 2005. Sleeve gastrectomy (SG) is the major procedure with 1564 operations in 2010. The mean BMI was 48.8 kg / m². The incidence of comorbidities was 84.8 %. Conclusion: Bariatric surgery has become more accepted in Germany. Beside the Roux-en-Y gastric bypass, sleeve gastrectomy is the most frequently performed operation. BMI and incidence of comorbidities are still high in comparison with literature values. Due to the lack of evidence, more randomised studies are necessary to standardise operative techniques and evaluate patient selection criteria. Quality assurance studies support a detailed analysis of these parameters.Zentralblatt für Chirurgie 06/2012; · 1.02 Impact Factor -
Article: [Reply to the Comments of Dr. Körber about the Article "Women in Surgery - Pleasure or Burden"].
Zentralblatt für Chirurgie 02/2012; 137(1):95. · 1.02 Impact Factor -
Article: Letter to the Editor and Comments on the Article "Gastric Histopathologies in Patients Undergoing Laparoscopic Sleeve Gastrectomies" by Salam Al Sabah et al.
Obesity Surgery 01/2013; · 3.29 Impact Factor -
Article: Actual situation of thromboembolic prophylaxis in obesity surgery: data of quality assurance in bariatric surgery in Germany.
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ABSTRACT: Background. Evidence-based data on optimal approach for prophylaxis of deep venous thrombosis (VTE) and pulmonary embolism (PE) in bariatric operations is discussed. Using antithrombotic prophylaxis weight adjusted the risk of VTE and its complications have to be balanced with the increased bleeding risk. Methods. Since 2005 the current situation for bariatric surgery has been examined by quality assurance study in Germany. As a prospective multicenter observational study, data on the type, regimen, and time course of VTE prophylaxis were documented. The incidences of clinically diagnosed VTE or PE were derived during the in-hospital course and follow up. Results. Overall, 11,835 bariatric procedures were performed between January 2005 and December 2010. Most performed procedures were 2730 gastric banding (GB); 4901 Roux-en-Y-gastric bypass (RYGBP) procedures, and 3026 sleeve gastrectomies (SG). Study collective includes 72.5% (mean BMI 48.1 kg/m(2)) female and 27.5% (mean BMI 50.5 kg/m(2)) male patients. Incidence of VTE was 0.06% and of PE 0.08%. Conclusion. VTE prophylaxis regimen depends on BMI and the type of procedure. Despite the low incidence of VTE and PE there is a lack of evidence. Therefore, prospective randomized studies are necessary to determine the optimal VTE prophylaxis for bariatric surgical patients.Thrombosis. 01/2012; 2012:209052.
