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Risk factors for early postoperative complications after bariatric surgery.
Husain, Farah; Jeong, In Ho; Spight, Donn; Wolfe, Bruce; Mattar, Samer G.
Afiliación
  • Husain F; Department of Surgery, Oregon Health and Science University, Portland, OR, USA.
  • Jeong IH; Department of Surgery, Oregon Health and Science University, Portland, OR, USA.
  • Spight D; Department of Surgery, Jeju National University School of Medicine, Jeju, Korea.
  • Wolfe B; Department of Surgery, Oregon Health and Science University, Portland, OR, USA.
  • Mattar SG; Department of Surgery, Oregon Health and Science University, Portland, OR, USA.
Ann Surg Treat Res ; 95(2): 100-110, 2018 Aug.
Article en En | MEDLINE | ID: mdl-30079327
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Ann Surg Treat Res Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Ann Surg Treat Res Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Corea del Sur