Predicting Complications after Bariatric Surgery using Obesity-Related Co-morbidities

Cawley, John; Sweeney, Matthew; Kurian, Marina; Beane, Susan

doi:10.1007/s11695-008-9422-1

Cited by 36 publications

(18 citation statements)

References 23 publications

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“…54 The two comorbidities most predictive of postoperative complications were sleep apnea and gastroesophageal reflux disease; others included diabetes, hyperlipidemia, and hypertension. A study by Cawley and colleagues found that preexisting obesity-related comorbidities were significantly associated with the likelihood of developing certain complications after bariatric surgery.…”

Section: Complicationsmentioning

confidence: 99%

“…55 Symptoms, which can arise 15 minutes to two hours after eating and generally last about 30 minutes, may include tachycardia, dizziness, sweating, nausea, vomiting, bloating, abdominal cramping, and diarrhea. 54 Cholelithiasis. Dumping syndrome occurs more often with RYGB than with BPD-DS, probably because the latter procedure preserves more of the stomach, including the pyloric valve.…”

Section: Complicationsmentioning

confidence: 99%

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Outcomes and Complications After Bariatric Surgery

Gagnon

Sheff

2012

AJN, American Journal of Nursing

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Bariatric surgery is an effective and increasingly common treatment for obesity and obesity-related comorbidities. There are currently two major categories of such surgery, grouped according to the predominant mechanism of action: restrictive procedures, such as vertical banded gastroplasty and adjustable gastric banding; and malabsorptive procedures with a restrictive component, such as Roux-en-Y gastric bypass, vertical sleeve gastrectomy, and biliopancreatic diversion with duodenal switch. In general, the more complex the procedure, the better the results in terms of weight loss; but there's evidence that more complex procedures also have higher morbidity and mortality rates. This article outlines five of the most common procedures, discusses the outcomes and complications of bariatric surgery, and describes the nursing implications for pre- and postoperative patient care.

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Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Outcomes and Complications After Bariatric Surgery

Gagnon

Sheff

2012

AJN, American Journal of Nursing

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“…Certain surgical complications, such as band slippage[15, 16], have been indicated in increasing the risk of GERD following surgery. Additionally, patients with GERD prior to surgery may be more likely to experience surgical complications than patients with other obesity-related co-morbidities[17]. The relationship between surgical complications and GERD medication use may therefore be bidirectional.…”

Section: Discussionmentioning

confidence: 99%

Medication Use Following Bariatric Surgery: Factors Associated with Early Discontinuation

Kennedy

Nelson

Pettine³

et al. 2013

OBES SURG

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Background Medication discontinuation is a common result of bariatric surgery. The influence of individual patient characteristics and surgical outcomes on overall and specific medication discontinuation is not well understood. The purpose of the current study was to assess changes in medication use and identify individual characteristics and surgical outcomes associated with medication discontinuation among bariatric patients. Methods The patients included in the current study received bariatric surgery from the Northern Colorado Surgical Associates of Fort Collins, Colorado between October 2007 and September 2010. Demographic, weight, health, and medication data from 400 patients with at least one 6 or 12 month post-operative appointment were extracted from the Bariatric Outcome Longitudinal Database (BOLD). Multivariate regression analyses were used to investigate how patient factors affect total medication use over time, use of medications grouped by co-morbidity postoperatively, and use of specific medication classes post-operatively. Results Baseline co-morbidities, particularly type 2 diabetes (T2DM), male sex, and Roux-en-Y gastric bypass surgery were significantly associated with decreased total medication use following surgery. Weight loss, systemic disease, sex, baseline co-morbidities, surgical complications, and race were significantly associated with continued use of specific medications following surgery. Conclusions Bariatric surgery can help patients with certain characteristics discontinue medications, but is not effective for all patients. Baseline health, sex, race, bariatric procedure, surgical complications, and post-operative weight loss may affect how bariatric patients’ medication use changes pre-operatively to post-operatively.

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“…The surgical technique in this trial involved incision of the gastrohepatic ligament "lateral to the left gastric artery," with an opening made in the lesser omentum made along the lesser curvature; it is not clear how much of the lesser omentum was transected in this trial. A review of private health insurance claims in a series of 1,760 bariatric patients found a 15.7% incidence of dumping [26]; surgical details from this database were not available.…”

Section: Discussionmentioning

confidence: 99%