Does C-reactive protein day 1 post-surgery have a predictive role for post-operative complications: a single-centre perspective following published meta-analysis

Williams, Murray; Langlands, Fiona; Giles, Mathew

doi:10.1007/s11695-019-04241-4

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Caution should be taken in the presence of suspected clinical conditions (e.g., tachycardia) and/or abnormal level of serological markers (e.g., C-reactive protein, procalcitonin) as predictors of risk of postoperative complications [ 178 – 181 ]. However, there is no consensus on which serological markers should be assessed and at which postoperative time point [ 182 – 185 ]. Routine postoperative contrast imaging examination increased costs and LOS [ 186 , 187 ] and was not considered to be a reliable assessment of postoperative complications [ 188 – 190 ].…”

Section: Resultsmentioning

confidence: 99%

Enhanced recovery after bariatric surgery: an Italian consensus statement

Marinari

Foletto²,

Nagliati

et al. 2022

Surg Endosc

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Background Enhanced recovery after bariatric surgery (ERABS) is an approach developed to improve outcomes in obese surgical patients. Unfortunately, it is not evenly implemented in Italy. The Italian Society for the Surgery of Obesity and Metabolic Diseases and the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care joined in drafting an official statement on ERABS. Methods To assess the effectiveness and safety of ERABS and to develop evidence-based recommendations with regard to pre-, intra-, and post-operative care for obese patients undergoing ERABS, a 13-member expert task force of surgeons and anesthesiologists from Italian certified IFSO center of excellence in bariatric surgery was established and a review of English-language papers conducted. Oxford 2011 Levels of Evidence and U.S. Preventive Services Task Force Grade Definitions were used to grade the level of evidence and the strength of recommendations, respectively. The supporting evidence and recommendations were reviewed and discussed by the entire group at meetings to achieve a final consensus. Results Compared to the conventional approach, ERABS reduces the length of hospital stay and does not heighten the risk of major post-operative complications, re-operations, and hospital re-admissions, nor does it increase the overall surgical costs. A total of 25 recommendations were proposed, covering pre-operative evaluation and care (7 items), intra-operative management (1 item, 11 sub-items), and post-operative care and discharge (6 items). Conclusions ERABS is an effective and safe approach. The recommendations allow the proper management of obese patients undergoing ERABS for a better outcome.

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Section: Resultsmentioning

confidence: 99%

Enhanced recovery after bariatric surgery: an Italian consensus statement

Marinari

Foletto²,

Nagliati

et al. 2022

Surg Endosc

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“…Many studies have shown that inflammatory scores can improve the accuracy of complication prediction after bariatric surgery [21][22][23][24]. The determination of amylase in the drain liquid apparently may be an inexpensive and easily available tool (in the same way as inflammatory markers) to help in this regard.…”

Section: Discussionmentioning

confidence: 99%

Drain Amylase Levels in the Early Diagnosis of Gastric Leak after Laparoscopic Sleeve Gastrectomy

et al. 2021

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Highlights of the Study• Gastric leak is the most dreaded septic complication after sleeve gastrectomy.• With the advent of enhanced recovery after surgery (ERAS) protocols, the early detection of gastric leak following laparoscopic sleeve gastrectomy (LSG) is imperative. • The use of drain amylase levels to detect enteric or pancreatic leak has been described previously.• In this study, we have investigated the relationship between this index and the appearance of a gastric leak after LSG.

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