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Preoperative risk factors for early hemorrhagic complications in bariatric surgery: a case-control study.
Castro, Andrés; Cassinello, Norberto; Alfonso, Raquel; Ortega, Joaquín.
Afiliação
  • Castro A; General Surgery Department. Clínica Juan N Corpas, Universidad Nacional de Colombia, Bogotá, Colombia.
  • Cassinello N; General Surgery Department. Bariatric Surgery Unit, Hospital Clínico Universitario, Avenida Blasco Ibáñez 17, 46010, Valencia, Spain. cassinello73@hotmail.com.
  • Alfonso R; Surgery Department, University of Valencia, Valencia, Spain. cassinello73@hotmail.com.
  • Ortega J; General Surgery Department. Bariatric Surgery Unit, Hospital Clínico Universitario, Avenida Blasco Ibáñez 17, 46010, Valencia, Spain.
Surg Endosc ; 36(1): 430-434, 2022 01.
Article em En | MEDLINE | ID: mdl-33523271
BACKGROUND: Although a reliable procedure in morbid obesity treatment, bariatric surgery may be associated with serious complications such as leakage or bleeding. We aimed to analyze the preoperative factors involved in patients with early postoperative hemorrhage after any type of bariatric surgery who required conservative treatment or reoperation for this complication. METHODS: Retrospective case-controlled study (1:3) of 2 patient cohorts (postoperative bleeding/controls) matched by type of surgical intervention. RESULTS: Hypertension (Odds Ratio 5.029; 95% Confidence Interval 1.78-14.13) and history of antiplatelet medication (OR 13.263; 95% CI 1.39-125.9) were independent risk factors in the bivariate analyses, confirmed in the logistic regression model on multivariate analysis. CONCLUSIONS: With no between-group differences in Body Mass Index (BMI) and type 2 Diabetes (T2D), early hemorrhagic complications were found to be more frequent in patients with hypertension or antiplatelet drug treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Diabetes Mellitus Tipo 2 / Cirurgia Bariátrica Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Surg Endosc Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Diabetes Mellitus Tipo 2 / Cirurgia Bariátrica Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Surg Endosc Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Alemanha