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01-10-2013 | Original Contributions

Pulmonary Function Testing and Complications of Laparoscopic Bariatric Surgery

Authors: Astrid van Huisstede, Laser Ulas Biter, Ronald Luitwieler, Manuel Castro Cabezas, Guido Mannaerts, Erwin Birnie, Christian Taube, Pieter S. Hiemstra, Gert-Jan Braunstahl

Published in: Obesity Surgery | Issue 10/2013

Abstract

Background

Obesity is associated with respiratory symptoms and impaired pulmonary function, which could increase the risk of complications after bariatric surgery. The purpose of this study is to assess the relationship between pulmonary function parameters before, and the risk of complications after, laparoscopic bariatric surgery.

Methods

This prospective study included patients (age 18–60, BMI >35 kg/m²), who were eligible for bariatric surgery. Spirometry was performed in all patients. Complications up to 30 days after bariatric surgery were recorded.

Results

Four hundred eighty-five patients were included (304 laparoscopic sleeve gastrectomy, 181 laparoscopic gastric bypass). There were 53 complications (8 pulmonary, 27 surgical, 14 infectious, 4 other) in 50 patients (10 %). There were 35 re-admissions (7.2 %), and 17 re-laparoscopies (3.5 %). Subjects with and without complications did not differ significantly with respect to demographics, weight, BMI, abdominal circumference or fat percentage. Subjects with complications had a significantly lower mean FEV₁ (mean 86.9 % predicted) and FVC (95.6 % predicted) compared to patients without complications (95.9 % predicted, p = 0.005, and 100.1 % predicted, p = 0.045, respectively). After adjustment for age, gender, BMI, and smoking, abnormal spirometry value remained the single predictive covariable of postoperative complications: FEV₁/FVC <70 % adjusted OR 3.1 (95%CI 1.4–6.8, p = 0.006) and ΔFEV₁ ≥12 % adjusted OR 2.9 (95 %CI 1.3–6.6, p = 0.010).

Conclusions

The risk of pulmonary complications after laparoscopic bariatric surgery is low. However, subjects with abnormal spirometry test results have a threefold risk of complications after laparoscopic bariatric surgery. Preoperative pulmonary function testing might be useful to predict the risk of complications of laparoscopic bariatric surgery.

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Title: Pulmonary Function Testing and Complications of Laparoscopic Bariatric Surgery
Authors: Astrid van Huisstede
Laser Ulas Biter
Ronald Luitwieler
Manuel Castro Cabezas
Guido Mannaerts
Erwin Birnie
Christian Taube
Pieter S. Hiemstra
Gert-Jan Braunstahl
Publication date: 01-10-2013
Publisher: Springer US
Published in: Obesity Surgery / Issue 10/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-013-0928-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pulmonary Function Testing and Complications of Laparoscopic Bariatric Surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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