One-Year Mortality after Contemporary Laparoscopic Bariatric Surgery: An Analysis of the Bariatric Outcomes Longitudinal Database

Inaba, Colette S.; Koh, Christina Y.; Sujatha-Bhaskar, Sarath; Silva, Jack P.; Chen, Yanjun; Nguyen, Danh V.; Nguyen, Ninh T.

doi:10.1016/j.jamcollsurg.2018.02.013

Cited by 44 publications

(22 citation statements)

References 28 publications

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“…We could confirm the low 1-year mortality reported by Inaba et al [7] (.23%) in 128,349 gastric bypass and 30,257 sleeve gastrectomy operations from 2008 to 2012 in the Bariatric Outcome Longitudinal Database [7]. The influence of several risk factors in the Bariatric Outcome Longitudinal Database cohort was found to be very similar to the present study: older age (OR 1.05 versus 1.04 per increased year of age), presence of a 30-day leakage (OR 25.4 versus 22.5), and pulmonary embolism (OR 34.5 versus 19.6).…”

Section: One-year Mortalitysupporting

confidence: 91%

See 1 more Smart Citation

Low overall mortality during 10 years of bariatric surgery: nationwide study on 63,469 procedures from the Scandinavian Obesity Registry

Sundbom

Näslund

Vidarsson

et al. 2020

Surgery for Obesity and Related Diseases

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Section: One-year Mortalitysupporting

confidence: 91%

“…Because of increased access to prolonged intensive care, most recent reports focus on both 30-and 90-day mortality after surgical procedures. Moreover, some authors suggest that the 1-year mortality better represents the true risk of bariatric surgery [7,8].…”

mentioning

confidence: 99%

Low overall mortality during 10 years of bariatric surgery: nationwide study on 63,469 procedures from the Scandinavian Obesity Registry

Sundbom

Näslund

Vidarsson

et al. 2020

Surgery for Obesity and Related Diseases

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“…However, the pattern of increased mortality associated with BS persisted in men. Our results are consistent with other studies evaluating risk factors for mortality after BS whereby liver disease and male sex are independent predictors of mortality …”

Section: Discussionsupporting

confidence: 93%

“…Our results are consistent with other studies evaluating risk factors for mortality after BS whereby liver disease and male sex are independent predictors of mortality. (41)(42)(43) Our study has several strengths. We assembled a large cohort and appropriately matched them to a concurrent group.…”

Section: Original Article | 223mentioning

confidence: 99%

Impact of Prior Bariatric Surgery on Perioperative Liver Transplant Outcomes

Idriss

Hasse

et al. 2019

Liver Transpl

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Bariatric surgery (BS) is effective in treating morbid obesity, but the impact of prior BS on candidacy for liver transplantation (LT) is unclear. We examined 78 patients with cirrhosis with prior BS compared with a concurrent cohort of 156 patients matched by age, Model for End‐Stage Liver Disease score, and underlying liver disease. We compared rates of transplant denial after evaluation, delisting on the waiting list, and survival after LT. The median time from BS to LT evaluation was 7 years. Roux‐en‐Y gastric bypass was the most common BS procedure performed (63% of cohort). Nonalcoholic fatty liver disease was the leading etiology for liver cirrhosis (47%). Delisting/death on the waiting list was higher among patients with BS (33.3% versus 10.1%; P = 0.002), and the transplantation rate was lower (48.9% versus 65.2%; P = 0.03). Intention‐to‐treat (ITT) survival from listing to 1 year after LT was lower in the BS cohort versus concurrent cohort (1‐year survival, 84% versus 90%; P = 0.05). On adjusted analysis, a history of BS was associated with an increased risk of death on the waiting list (hazard ratio [HR], 5.7; 95% confidence interval [CI], 2.2‐15.1), but this impact was attenuated (HR, 4.9; 95% CI, 1.8‐13.4) by the presence of malnutrition. When limited to matched controls by sex, mortality attributed to BS was no longer significant for females (P = 0.37) but was significant for males (P = 0.046). Sarcopenia, as captured by skeletal muscle index, was calculated in a subset of patients (n = 49). The total skeletal surface area was lower in the BS group (127 [105‐141] cm2 versus 153 [131‐191] cm2; P = 0.005). Rates of sarcopenia were higher among patients delisted after listing (71.4% versus 16.7%; P = 0.04). In conclusion, a history of BS was associated with higher rates of delisting on the waiting list as well as lower survival from the time of listing on ITT analysis. Presence of malnutrition and sarcopenia among patients with BS may contribute to worse outcomes.

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“…Laparoscopic sleeve gastrostomy is a popular operation, and in the US, LSG has surpassed Roux-en-Y gastric bypass because of more favorable outcomes of lower mortality and overall morbidity, similar weight loss, and resolution of health comorbidities at 5 years [163][164][165][166]. Further supporting LSG as a preferred procedure is the lower leak rates, the twofold lower complication rate, and a mortality rate that is half that of Roux-en-Y gastric bypass [167].…”

Section: Discussionmentioning

confidence: 99%

Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review

2019

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Background Staple-line leaks following laparoscopic sleeve gastrectomy (LSG) remain a concerning complication. Stapleline buttressing is largely adopted as an acceptable reinforcement but data regarding leaks have been equivocal. This study compared staple-line leaks in five reinforcement options during LSG: no reinforcement (NO-SLR), oversewing (suture), nonabsorbable bovine pericardial strips (BPS), tissue sealant or fibrin glue (Seal), or absorbable polymer membrane (APM). Methods This systematic review study of articles published between 2012 and 2016 regarding LSG leak rates aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Variables of interest included leak rates, bleeding, and complications in addition to surgical and population parameters. An independent Fisher's exact test was used to compare the number of patients with and without leaks for the different reinforcement options. Results Of the 1633 articles identified, 148 met inclusion criteria and represented 40,653 patients. Differences in age (older in APM; p = 0.001), starting body mass index (lower in Suture; p = 0.008), and distance from pylorus (closer in BPS; p = 0.04) were observed between groups, but mean bougie size was equivalent. The overall leak rate of 1.5% (607 leaks) ranged from 0.7% for APM (significantly lower than all groups; p ≤ 0.007 for next lowest leak rate) to 2.7% (BPS). Conclusions This systematic review of staple-line leaks following LSG demonstrated a significantly lower rate using APM staple-line reinforcement as compared to oversewing, use of sealants, BPS reinforcement, or no reinforcement. Variation in surgical technique may also contribute to leak rates.

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One-Year Mortality after Contemporary Laparoscopic Bariatric Surgery: An Analysis of the Bariatric Outcomes Longitudinal Database

Cited by 44 publications

References 28 publications

Low overall mortality during 10 years of bariatric surgery: nationwide study on 63,469 procedures from the Scandinavian Obesity Registry

Low overall mortality during 10 years of bariatric surgery: nationwide study on 63,469 procedures from the Scandinavian Obesity Registry

Impact of Prior Bariatric Surgery on Perioperative Liver Transplant Outcomes

Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review

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