Risk factors for early postoperative complications after bariatric surgery
Annals of Surgical Treatment and Research
; : 100-110, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-716294
Responsible library:
WPRO
ABSTRACT
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Surgical Wound Infection
/
Obesity, Morbid
/
Gastric Bypass
/
Logistic Models
/
Retrospective Studies
/
Risk Factors
/
Classification
/
Hypoalbuminemia
/
Bariatric Surgery
Type of study:
Etiology study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2018
Document type:
Article