Association of metabolic syndrome and surgical factors with pulmonary adverse events, and longitudinal mortality in bariatric surgery

Abstract

The incidence of PPC was low after bariatric surgery. Increasing age, BMI, ASA status, MetS, obstructive sleep apnoea, asthma, congestive heart failure, surgical duration, and procedure type were independently significantly associated with PPC. Pulmonary complications and MetS were significantly associated with increased postoperative mortality.

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

“…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 ).…”

“…37 Nonetheless, DM is recognized as an independent risk factor in postoperative pulmonary complications in other surgical settings. 37,38 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 IV and VI). Although the reason for this age and female gender differences are unclear, we can reason that it is not likely attributable to thromboembolic events because there were no differences in this complication appreciated between groups across all age cohorts (0.5% vs. 0.4%; P 5 0.544 for age and 0.3% vs. 0.3%; P 5 0.766 for gender).…”

Cardiac structure and function before and after bariatric surgery: a clinical overview

“…As mentioned by Alpert et al (10) the duration of obesity is significantly associated with the severity of possible heart conditions. Several studies show an association between the duration of obesity with increased (postoperative) morbidities (72)(73)(74). End organ (cardiac) dysfunction is increased by both and duration of obesity.…”

Effects of Protective Mechanical Ventilation With Different PEEP Levels on Alveolar Damage and Inflammation in a Model of Open Abdominal Surgery: A Randomized Study in Obese Versus Non-obese Rats

“…Obesity is a growing problem worldwide, which means that an increasing number of surgeries are being performed in obese patients (Schumann et al, 2015). Obese patients undergoing anesthesia have reduced lung volumes (Silva et al, 2012), which can be exacerbated by low V T , increasing atelectasis (Goldenberg et al, 2014).…”