Is Body Mass Index and Obesity Surgery Mortality Score Important in Perioperative Complications of Laparoscopic Sleeve Gastrectomy Before Discharge?

Abstract

Background: Morbid obesity surgery and related complications have increased with time. Aim: To evaluate the relationship between perioperative complications before discharge and preoperative body mass index and obesity surgery mortality score in laparoscopic sleeve gastrectomy. Method: 1617 patients who met the inclusion criteria were evaluated retrospectively. The patients were examined in terms of demographic data, presence of comorbidities, whether there were complications or not, type of complications and obesity surgery mortality score. Results: Complications were seen in 40 patients (2.5%) and mortality wasn’t seen in the early postoperative period before discharge. The mean age of patients with complications was 36.3±10.02 years (19-57) and without complications 34.12±9.54 (15-64) years. The preoperative mean BMI values of patients with and without complications were 45.05±3.93 (40-57) kg/m2 and 44.8±3.49 (35-67) kg/m2 respectively. According to BMI groups 40-45 kg/m2, 45-50 kg/m2 and 50 and over, there was not any statistical significance seen in three groups in terms of complication positivity and major-minor complication rates. There was not any statistical significance seen between the patients with and without major-minor complications and obesity surgery mortality score. Conclusion: There was not any relation between perioperative laparoscopic sleeve gastrectomy complication rates before discharge and BMI and obesity surgery mortality scores.

GASTRIC PLICATION ASSOCIATED WITH FUNDOPLICATION IN INDIVIDUALS WITH CLASS I OBESITY AND GASTROESOPHAGEAL REFLUX DISEASE: WEIGHT LOSS OUTCOMES, REFLUX-RELATED SYMPTOMS, ENDOSCOPIC AND pH MONITORING FINDINGS

“…This, alongside the retrospective data collection of the present study (which does not favor the detection of minor morbidity), may help explain the somewhat more favorable outcomes of the current study. Considering the equally low perioperative morbidity usually observed in the currently standard bariatric operations, mainly sleeve gastrectomy and Roux-en-Y gastric bypass, the findings of the present study are encouraging 2 , 6 .…”

“…The median age was 40.4 years (IQR 32.1–47.8). The median pre-operative BMI was 32.0 kg/m 2 (IQR 30,5–34); at 1–2 years, it was 29.5 kg/m 2 (IQR 26.7–33.9); and at 2–4 years, it was 27.4 kg/m 2 (IQR 24.1–30.6). The median BMI was significantly lower at 1–2 years than at baseline (p<0.05); and there were no significant changes between then and from 2–4 years on (p=0.059) ( Table 1 ).…”

“…The other was reoperated after four years because of insufficient weight loss, undergoing a combined Nissen-sleeve gastrectomy with preservation of the previous Nissen's wrap. This technique was chosen because of the relatively low BMI of the patient to propose a gastric bypass (<35 kg/m 2 ) without comorbidities alongside the absence of endoscopic and clinical esophagitis after the first operation.…”

“…Surgery was indicated for individuals of any gender, aged 18 to 70 years, who presented with a pre-operative body mass index (BMI) between 30 and 34.9 kg/m 2 (class I obesity) and who had refractory symptoms and/or endoscopic findings consistent with GERD. Refractory GERD was defined as the presence of persistent troublesome GERD symptoms and objective evidence despite optimized proton-pump inhibitor (PPI) therapy, which consists of double-dose PPI therapy over at least eight weeks 19 .…”

Body Composition Assessed by Dual-Energy X-Ray Absorptiometry on Metabolic Profile and Cardiovascular Risk in Obese Patients Prior to Bariatric Surgery

“…The body mass index (BMI) and waist circumference (WC) are the most widely used measures in the assessment of the risk of cardiovascular disease 7,8 . However, these anthropometric tools do not distinguish fat mass from lean mass, the latter of which is inversely associated with the risk of cardiovascular disease 4,8 .…”