{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:26:13Z","timestamp":1780935973779,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Obesity is common and adversely impacts quality\u2010of\u2010life and healthcare cost. In Australia, less than 10% of bariatric surgeries are performed in the public sector. This study reports our 10\u2010year experience from a high volume public bariatric service which delivers multi\u2010disciplinary care for primary and revisional procedures with mid\u2010 to long\u2010term follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospectively maintained database of all patients who underwent bariatric surgery from January 2010 to January 2020 at a tertiary metropolitan hospital was analysed. We analysed patient demographics, comorbidities, perioperative outcomes, 2\u2010 and 5\u2010year weight loss as well as comorbidities reduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 995 patients underwent 1086 (674 primary and 412 revisional) bariatric procedures with mean age of 46.9\u2009years, mean BMI of 49.6\u2009\u00b1\u20099.1\u00a0kg\/m<jats:sup>2<\/jats:sup> and 92% patients with \u22651 obesity\u2010related co\u2010morbidity. Length\u2010of\u2010stay was longer for revisional than primary surgery (5.6 vs. 3.5\u2009days). Major complication rate was 4.2%. Overall, % Total body weight loss (%TBWL) for primary surgeries at 2\u2009years was 26.2%, and for revision surgery was 17.4%. At 2\u2009years follow\u2010up, treatment was ceased or reduced in 65% of diabetics, 29% of hypertensive patients and 69% of sleep apnoea patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study confirms that bariatric surgery in Australia can be delivered effectively in resource constrained public health system with outcomes similar to private sector.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17768","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T09:43:56Z","timestamp":1653299036000},"page":"2129-2136","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Bariatric surgery in a public hospital: a 10\u2010year experience"],"prefix":"10.1111","volume":"92","author":[{"given":"Ahmad","family":"Aly","sequence":"first","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit, Department of Surgery Austin Health  Heidelberg Victoria Australia"},{"name":"Austin Precinct, Department of Surgery The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calista","family":"Spiro","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit, Department of Surgery Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8936-4123","authenticated-orcid":false,"given":"David S.","family":"Liu","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit, Department of Surgery Austin Health  Heidelberg Victoria Australia"},{"name":"Austin Precinct, Department of Surgery The University of Melbourne  Melbourne Victoria Australia"},{"name":"General and Gastrointestinal Surgery Research Group, The University of Melbourne Department of Surgery Austin Precinct, Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8513-2130","authenticated-orcid":false,"given":"Krinal","family":"Mori","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit, Department of Surgery Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hou K.","family":"Lim","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit, Department of Surgery Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Blackham","sequence":"additional","affiliation":[{"name":"Department of Surgery University Western Australia  Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymund J.","family":"Erese","sequence":"additional","affiliation":[{"name":"Section of Bariatric Surgery The Medical City\/Ateneo School of Medicine and Public Health  Pasig Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Statistics A.B.o. 4364.0.55.001 \u2010 National Health Survey: First Results 2017\u201318. 2019: Canberra."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dar036"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2016.165"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-0382"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2016.12.016"},{"key":"e_1_2_10_7_1","unstructured":"AIHW Weight loss surgery in Australia 2014\u20132015: Australian hospital statistics. 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