Utilization of Public System for Gastric Bands Placed by Private Providers: a 4-Year Population-Based Analysis in Ontario, Canada

作者：Prabhu Kristel Lobo; Okrainec Allan; Maeda Azusa; Saskin Refik; Urbach David; Bell Chaim M; Jackson Timothy D^*

来源：Obesity Surgery, 2018, 28(9): 2979-2982.

DOI：10.1007/s11695-018-3342-5

• Laparoscopic adjustable gastric band
• Gastric band removal
• Bariatric surgery
• Health care utilization

Laparoscopic adjustable gastric band (LAGB) placement remains a common bariatric procedure. While LAGB procedure is performed within private clinics in most Canadian provinces, public health care is often utilized for LAGB-related reoperations. We identified 642 gastric band removal procedures performed in Ontario from 2011 to 2014 using population-level administrative data. The number of procedures performed increased annually from 101 in 2011 to 220 in 2014. Notably, 54.7% of the patients required laparotomy, and 17.6% of patients underwent a subsequent bariatric surgery. Our findings demonstrated that LAGB placement in private clinics resulted in a large number of band removal procedures performed within the public system. This represents a significant public health concern that may result in significant health care utilization and patient morbidity.

• 出版日期2018-9