Bariatrik cerrahi sonrası kilo kaybı döneminde toplum kökenli akut solunum yolu enfeksiyonlarının sıklığındaki değişim: Bir gözlemsel vaka-çapraz çalışma. Bariatrik cerrahi geçirenler risk altında mı?

Abstract

It is unknown whether there is an increase in the frequency of acquired respiratory tract infections (ARTIs) while the weight loss process continues after bariatric surgery (BS). Methods: An observational case-crossover study of 366 patients underwent BS between September 2018 and September 2019 was performed. Prospectively recorded data of ARTI events in the first pre-and post-operative ARTI seasons were compared. Results: Mean age was 36.4 ± 10.9 years and mean body mass index (BMI) was 44.1 ± 6.2 kg/m2. Mean change in BMI in an ARTI season was 13.2 ± 6.1 kg/m2. Among 366 patients, 180 (49.2%) were diagnosed with ARTI and the average numbers of ARTIs was 0.69 ± 0.85 in preoperative season. During the postoperative season, 134 (36.6%) patients were diagnosed with ARTI and the average numbers of ARTIs was 0.49 ± 0.76. Both period prevalence and average number of ARTIs in preoperative ARTI season was significantly higher than postoperative season (P = 0.001 for both). The change in BMI in an ARTI season was correlated with the postoperative period prevalence of ARTIs (r = 0.119, p = 0.022). Conclusion: These findings showed that the period prevalence and incidence of ARTIs reduced after BS. However, the frequency of ARTIs was higher in patients with greater weight loss.