Risk factors for early postoperative complications after bariatric surgery

Farah Husain; In Ho Jeong; Donn Spight; Bruce Wolfe; Samer G Mattar

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저자정보: Farah Husain (Oregon Health and Science University) In Ho Jeong (Oregon Health and Science University) Donn Spight (Oregon Health and Science University) Bruce Wolfe (Oregon Health and Science University) Samer G Mattar (Oregon Health and Science University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.2

발행연도: 2018.8

수록면: 100 - 110 (11page)

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Purpose: Vertical sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are currently the most common bariatric procedures. Although the safety of these operations has markedly improved, there continues to be a certain rate of complications. Such adverse events can have a significant deleterious effect on the outcome of these procedures and represent a costly burden on patients and society at large. A better understanding of these complications and their predictive factors may help ameliorate and optimize outcomes.
Methods: Seven hundred seventy-two consecutive patients who underwent SG or RYGB for morbid obesity between January 2011 and October 2015, in the Division of Bariatric Surgery at a tertiary institution, were included through retrospective review of the medical database. The complications were categorized and evaluated according to severity using the Clavien-Dindo classification system. Significant risk factors were evaluated by binary logistic regression to identify independent predictors and analyzed to identify their relationship with the type of complication.
Results: Independent predictors of severe complication after these procedures included male gender, open and revisional surgery, hypertension, and hypoalbuminemia. Hypoalbuminemia had significant associations with occurrence of deep surgical site infection and leak. Open surgery had significant associations with occurrence of superficial and deep surgical site infection and respiratory complications. Independent predictors of severe complication after laparoscopic primary RYGB included previous abdominal surgery. Previous abdominal surgery had significant associations with deep surgical site infection and leak.
Conclusion: Recognition and optimization of these risk factors would be valuable in operative risk prediction before bariatric surgery.

#Bariatric surgery #Gastric bypass #Postoperative complications

참고문헌 (30)

참고문헌 신청

[학술지(정기간행물)] - Reames BN / 2014 / Changes in bariatric surgery procedure use in Michigan, 2006-2013 / JAMA 312 : 959 ~ 961

[학술지(정기간행물)] - Schauer PR / 2012 / Bariatric surgery versus intensive medical therapy in obese patients with diabetes / N Engl J Med 366 : 1567 ~ 1576

[학술지(정기간행물)] - Chang SH / 2014 / The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012 / JAMA Surg 149 : 275 ~ 287

[학술지(정기간행물)] - Zhang Y / 2015 / Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities: a meta-analysis of 21 studies / Obes Surg 25 : 19 ~ 26

[학술지(정기간행물)] - Peterli R / 2013 / Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass / Ann Surg 258 : 690 ~ 694

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