Metabolic surgery in South Africa : an initial academic hospital experience

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dc.contributor.authorLubbe, J.en_ZA
dc.contributor.authorWebner, A.en_ZA
dc.contributor.authorPotgieter, A.en_ZA
dc.contributor.authorOdendaal, W.en_ZA
dc.contributor.authorCooper, C.en_ZA
dc.contributor.authorLambrechts, A.en_ZA
dc.date.accessioned2021-03-08T07:15:11Z
dc.date.available2021-03-08T07:15:11Z
dc.date.issued2019
dc.descriptionCITATION: Lubbe, J., et al. 2019. Metabolic surgery in South Africa : an initial academic hospital experience. South African Journal of Surgery, 57(2):20-26, doi:10.17159/2078-5151/2019/v57n2a2804.
dc.descriptionThe original publication is available at http://www.scielo.org.za
dc.description.abstractBACKGROUND: In South Africa, 42.0% of adult females and 13.5% of adult males are classified as obese, the highest recorded numbers in Sub-Saharan Africa. Metabolic surgery has been proven to be a safe and effective treatment, yet due to demand on government resources has only been performed to a limited extent in public hospitals. The aim of this study was to describe the safety and efficacy of performing metabolic surgery at a single academic hospital in South Africa. METHODS: This was a single centre retrospective review of 57 metabolic surgery procedures performed from October 2011 to September 2017 at Tygerberg Hospital, Cape Town, South Africa. The primary outcome was safety including mortality and adverse events. Secondary outcomes included effect of surgery on weight and diabetes resolution. RESULTS: A total of 57 patients underwent laparoscopic metabolic surgery, of which 44 (83.0%) were female with a mean age (standard deviation) of 42.8 (8.0) years. Fifty-six patients (98%) underwent Roux-and-Y gastric bypass and one (2%) had a sleeve gastrectomy performed. There were no mortalities and overall morbidity was 14.0%, with 3 (5.3%) classified as major and 5 (8.8%) as minor. The follow-up rate at 1 year was 100%. Mean preoperative body mass index (BMI) was 58.8 kg/m2, and comorbidities included hypertension (59.6%), Type 2 Diabetes (42.1%), and dyslipidaemia (36.8%). There were no conversions to open surgery and at one year the mean (95% confidence interval) percentage excess body mass index loss was 50.4% (44.0-56.8%), CONCLUSIONS: Metabolic surgery can be performed safely in the public sector in South Africa, with short-term safety and efficacy outcomes comparable to international reports. Larger scale studies are needed to determine long-term outcomes and cost-effectiveness,en_ZA
dc.description.urihttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0038-23612019000200005&lng=en&nrm=iso&tlng=en
dc.description.versionPublishers version
dc.format.extent7 pagesen_ZA
dc.identifier.citationLubbe, J., et al. 2019. Metabolic surgery in South Africa : an initial academic hospital experience. South African Journal of Surgery, 57(2):20-26, doi:10.17159/2078-5151/2019/v57n2a2804
dc.identifier.issn2078-5151 (online)
dc.identifier.issn0038-2361 (print)
dc.identifier.otherdoi:10.17159/2078-5151/2019/v57n2a2804
dc.identifier.urihttp://hdl.handle.net/10019.1/109628
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectObesity -- Surgeryen_ZA
dc.subjectLaparoscopic surgeryen_ZA
dc.subjectGastroileal bypass surgeryen_ZA
dc.titleMetabolic surgery in South Africa : an initial academic hospital experienceen_ZA
dc.typeArticleen_ZA
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