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Obesity Surgery
Published in: Obesity Surgery 6/2017

01-06-2017 | Original Contributions

Can We Predict the Perioperative Pulmonary Complications Before Laparoscopic Sleeve Gastrectomy: Original Research

Authors: Nurhan Atilla, Huseyin Arpag, Fulsen Bozkus, Hasan Kahraman, Emrah Cengiz, Ertan Bulbuloglu, Semi Atilla

Published in: Obesity Surgery | Issue 6/2017

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Abstract

Background

The increasing prevalence of obesity in worldwide is one of the most serious chronic public health problems and is considered to be a global epidemic. Bariatric surgical procedures have also been applied more often with increased prevalence of obesity. As a result, the incidence of surgical complications has increased. Preoperative evaluation is quite important for these patients.

Aims

The aim of our study is to determine the predictors of perioperative pulmonary complications of laparoscopic sleeve gastrectomy.

Study Design

The study is a cross-sectional study.

Methods

One hundred eighty-three consecutive patients who received laparoscopic bariatric surgery were followed up during 3 months. Patients were divided into two groups A and B. Group A being the patients who had perioperative pulmonary complications (n = 28) and group B being patients who had not (n = 155). Pulmonary function test (PFT), body mass index (BMI), preoperative oxygen saturation, age, gender, comorbid diseases, and smoking history were compared between these groups.

Results

Mean age, size, weight, BMI, PFT parameters of groups A and B were close to each other. The strongest predictors of perioperative pulmonary complications were duration of smoking in current smokers and low baseline oxygen saturation.

Conclusions

Preoperative oxygen saturation and smoking history may help to predict perioperative complications of laparoscopic sleeve gastrectomy.
Literature
1.
2.
Benedix F, Westphal S, Patschke R, et al. Weight loss and changes in salivary ghrelin and adiponectin: comparison between sleeve gastrectomy and roux-en-Y gastric bypass and gastric banding. Obes Surg. 2011;21(5):616–24.CrossRefPubMed
3.
Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13(6):861–4.CrossRefPubMed
4.
Menenakos E, Stamou KM, Albanopoulos K, et al. Laparoscopic sleeve gastrectomy performed with intent to treat morbid obesity: a prospective single-center study of 261 patients with a median follow-up of 1 year. Obes Surg. 2010;20(3):276–82.CrossRefPubMed
5.
Ogunnaike BO, Jones SB, Jones DB, et al. Anesthetic considerations for bariatric surgery. Anesth Analg. 2002;95:1793.CrossRefPubMed
6.
7.
Masoomi H, Reavis KM, Smith BR, et al. Risk factors for acute respiratory failure in bariatric surgery: data from the Nationwide Inpatient Sample, 2006-2008. Surg Obes Relat Dis. 2013;9:277.CrossRefPubMed
8.
Huisstede A, Ulas Biter L, Luitwieler R, et al. Pulmonary function testing and complications of laparoscopic bariatric surgery. Obes Surg. 2013;23:1596–603.CrossRefPubMed
9.
Cawley J, Sweeney MJ, Kurian M, et al. Predicting complications after bariatric surgery using obesity-related co-morbidities. Obes Surg. 2007;17(11):1451–6.CrossRefPubMed
10.
Eichenberger AS, Proietti S, Wicky S, et al. Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg. 2002;95(6):1788–92.CrossRefPubMed
11.
Baltieri L, Santos LA, Rasere-Junior I, et al. Use of positive pressure in the bariatric surgery and effects on pulmonary function and prevalence of atelectasis: randomized and blinded clinical trial. Arg Bras Cir Dig. 2014;27(1):26–30.CrossRef
12.
Sanchez-Santos R, Masdevall C, Baltasar A, et al. Short- and mid-term outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg. 2009;19:1203–10.CrossRefPubMed
13.
Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, et al. International sleeve gastrectomy expert panel consensus statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8:19.
14.
Melinek J, Livingston E, Cortina G, et al. Autopsy findings following gastric bypass surgery for morbid obesity. Arch Pathol Lab Med. 2002;126:1091.PubMed
15.
Podnos YD, Jimenez JC, Wilson SE, et al. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg. 2003;138:957.CrossRefPubMed
16.
Janata K, Holzer M, Domanovits H, et al. Mortality of patients with pulmonary embolism. Wien Klin Wochenschr. 2002;114:766.PubMed
17.
Wightman JA. A prospective survey of the incidence of postoperative pulmonary complications. Br J Surg. 1968;55:85.CrossRefPubMed
18.
Grønkjær M, Eliasen M, Skov-Ettrup LS, et al. Preoperative smoking status and postoperative complications: a systematic review and meta-analysis. Ann Surg. 2014;259:52.CrossRefPubMed
19.
Warner MA, Divertie MB, Tinker JH. Preoperative cessation of smoking and pulmonary complications in coronary artery bypass patients. Anesthesiology. 1984;60:380.CrossRefPubMed
20.
Behazin N, Jones SB, Cohen RI, et al. Respiratory restriction and elevated pleural and esophageal pressures in morbid obesity. J Appl Physiol. 1985;108:212.CrossRef
21.
22.
Chiappini F, Fuso L, Pistelli R. Accuracy of a pulse oximeter in the measurement of the oxyhaemoglobin saturation. Eur Respir J. 1998;11:716.PubMed
Metadata
Title
Can We Predict the Perioperative Pulmonary Complications Before Laparoscopic Sleeve Gastrectomy: Original Research
Authors
Nurhan Atilla
Huseyin Arpag
Fulsen Bozkus
Hasan Kahraman
Emrah Cengiz
Ertan Bulbuloglu
Semi Atilla
Publication date
01-06-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2522-4

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