Association of Metabolic Syndrome and Surgical Factors With Pulmonary Adverse Events, and Longitudinal Mortality in Bariatric Surgery

Schumann, Roman; Shikara, S. A.; Sigl, Jannina; Kelley, S. D.

doi:10.1097/sa.0000000000000148

Cited by 6 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, an increased risk of pulmonary events is not as well recognized in the general diabetic settings . Nonetheless, DM is recognized as an independent risk factor in postoperative pulmonary complications in other surgical settings . We found the most striking differences in pulmonary complications in the < 40 years of age and 40 to 60‐year cohorts and female gender (Tables and ).…”

Section: Discussionmentioning

confidence: 68%

Transsphenoidal surgery and diabetes mellitus: An analysis of inpatient data and complications

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 68%

Transsphenoidal surgery and diabetes mellitus: An analysis of inpatient data and complications

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Such complications included any one or more of the following: pneumonia, atelectasis, pleural effusion, pneumothorax, ARDS, and respiratory failure. 6 …”

Section: Obesity: Epidemiology and Morbiditymentioning

confidence: 99%

“…4 Shearer pointed out that BMI might be a much less useful predictor of outcome than measurements of waist circumference, a potential surrogate for quantifying central or abdominal obesity. 5 Recently, Schumann et al 6 conducted a prospective statistical survey of a large clinical registry of bariatric surgery outcomes and found that both metabolic syndrome and increased BMI were significantly associated with postoperative pulmonary complications. Such complications included any one or more of the following: pneumonia, atelectasis, pleural effusion, pneumothorax, ARDS, and respiratory failure.…”

Section: Obesity: Epidemiology and Morbiditymentioning

confidence: 99%

Respiratory Management of Perioperative Obese Patients

et al. 2016

View full text Add to dashboard Cite

SummaryWith a rising incidence of obesity in the United States, anesthesiologists are faced with a larger volume of obese patients coming to the operating room as well as obese patients with ever-larger body mass indices (BMIs). While there are many cardiovascular and endocrine issues that clinicians must take into account when caring for the obese patient, one of the most prominent concerns of the anesthesiologist in the perioperative setting should be the status of the lung. Because the pathophysiology of reduced lung volumes in the obese patient differs from that of the ARDS patient, the best approach to keeping the obese patient's lung open and adequately ventilated during mechanical ventilation is unique. Although strong evidence and research are lacking regarding how to best ventilate the obese surgical patient, we aim with this review to provide an assessment of the small amount of research that has been conducted and the pathophysiology we believe influences the apparent results. We will provide a basic overview of the anatomy and pathophysiology of the obese respiratory system and review studies concerning pre-, intra-, and postoperative respiratory care. Our focus in this review centers on the best approach to keeping the lung recruited through the prevention of compression atelectasis and the maintaining of physiological lung volumes. We recommend the use of PEEP via noninvasive ventilation (NIV) before induction and endotracheal intubation, the use of both PEEP and periodic recruitment maneuvers during mechanical ventilation, and the use of PEEP via NIV after extubation. It is our hope that by studying the underlying mechanisms that make ventilating obese patients so difficult, future research can be better tailored to address this increasingly important challenge to the field of anesthesia.

show abstract

“…Because obesity, MetS and atherosclerosis are considered chronic inflammatory states, proinflammatory factors such as C-reactive protein (CRP), IL-6 might be involved in the pathogenesis of obesity and MetS as well as oxidative stress and endothelial dysfunction and should be reduced in obese patients. Bariatric surgery is the most effective treatment of obesity and cardiovascular risk reduction, but it is associated with inflammation in post operative period, which can contribute to deterioration of treatment results in obese patients [13]. There are 3 types of bariatric surgical procedures: Restrictive, malabsorptive, and combined operations.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Sleeve Gasterectomy Reduces Inflammation and Cardiometabolic Risk in Obese Patients

Nazirov¹,

Khaybullina²

2016

Cardiovasc Pharm Open Access

View full text Add to dashboard Cite

Obesity is associated with Metabolic Syndrome (MetS) and high cardiovascular risk as well as inflammation. Bariatric surgery is the most effective treatment of obesity and cardiovascular risk reduction. The aim of this research was to evaluate the Laparoscopic Sleeve Gasterectomy (LSG) effect on cardiometabolic risk factors, proinflammatory cytokines and oxidative stress markers in 25 women with morbid obesity (body mass index=45.4 ± 2.0 kg/m 2). LSG is mini-invasive operation without radical reconstruction of gastrointestinal tract. It was established that after LSG there were no activation of inflammation, in contrast, there was reduction of proinflammatory cytokines (interleykin-6, tumor necrosis factor-alpha) and C-reactive protein in the blood at early (7 th day) and late (3 month) period after operation. LSG led to a decrease in body weight and reduces cardiometabolic risk by normalizations of lipidomic profile (high-density lipoprotein cholesterol, triglyceride concentration in blood), optimizing the visceral fat tissue metabolism and reduction of inflammation and oxidative stress.

show abstract

Association of Metabolic Syndrome and Surgical Factors With Pulmonary Adverse Events, and Longitudinal Mortality in Bariatric Surgery

Cited by 6 publications

References 0 publications

Transsphenoidal surgery and diabetes mellitus: An analysis of inpatient data and complications

Transsphenoidal surgery and diabetes mellitus: An analysis of inpatient data and complications

Respiratory Management of Perioperative Obese Patients

Laparoscopic Sleeve Gasterectomy Reduces Inflammation and Cardiometabolic Risk in Obese Patients

Contact Info

Product

Resources

About