Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience
Introduction. Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons. Methods....
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2018/7498258 |
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| author | Yusef Moulla Orestis Lyros Matthias Blüher Philipp Simon Arne Dietrich |
| author_facet | Yusef Moulla Orestis Lyros Matthias Blüher Philipp Simon Arne Dietrich |
| author_sort | Yusef Moulla |
| collection | DOAJ |
| description | Introduction. Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons. Methods. We retrospectively analyzed high-risk patients, who underwent bariatric surgery in University Hospital Leipzig between May 2012 and December 2016. High-risk patients were defined when (Bergeat et al., 2016) at least one of the following risk factors was met: age ≥ 70 years, body mass index (BMI) > 70 kg/m2, liver cirrhosis, end-organ failure, or immunosuppression by status after organ transplantation along with (Birkmeyer et al., 2010) at least two comorbidities associated with obesity. Our analysis included early postoperative complications. Results. A total of 25 high-risk obese patients were identified. All patients had a standardized postoperative management with a mean length of hospital stay of 4 ± 1.4 days. One patient required an operative revision due to a stapler line leak after sleeve gastrectomy. No other major postoperative complications occurred. Conclusion. Bariatric surgery for severe high-risk patients can be performed safely in high-volume centers following standardized procedures. |
| format | Article |
| id | doaj-art-2c4fe5a992434f0ca6195839cc5887d3 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-2c4fe5a992434f0ca6195839cc5887d32025-02-03T01:08:49ZengWileyJournal of Obesity2090-07082090-07162018-01-01201810.1155/2018/74982587498258Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center ExperienceYusef Moulla0Orestis Lyros1Matthias Blüher2Philipp Simon3Arne Dietrich4Department of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Liebigstraße 20, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Liebigstraße 20, 04103 Leipzig, GermanyIntegrated Treatment and Research Centre (IFB) for Obesity Diseases, Philipp-Rosenthal-St. 27, 04103 Leipzig, GermanyDepartment of Anesthesia and Intensive Care Medicine, University of Leipzig, Liebigstraße 20, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Liebigstraße 20, 04103 Leipzig, GermanyIntroduction. Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons. Methods. We retrospectively analyzed high-risk patients, who underwent bariatric surgery in University Hospital Leipzig between May 2012 and December 2016. High-risk patients were defined when (Bergeat et al., 2016) at least one of the following risk factors was met: age ≥ 70 years, body mass index (BMI) > 70 kg/m2, liver cirrhosis, end-organ failure, or immunosuppression by status after organ transplantation along with (Birkmeyer et al., 2010) at least two comorbidities associated with obesity. Our analysis included early postoperative complications. Results. A total of 25 high-risk obese patients were identified. All patients had a standardized postoperative management with a mean length of hospital stay of 4 ± 1.4 days. One patient required an operative revision due to a stapler line leak after sleeve gastrectomy. No other major postoperative complications occurred. Conclusion. Bariatric surgery for severe high-risk patients can be performed safely in high-volume centers following standardized procedures.http://dx.doi.org/10.1155/2018/7498258 |
| spellingShingle | Yusef Moulla Orestis Lyros Matthias Blüher Philipp Simon Arne Dietrich Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience Journal of Obesity |
| title | Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience |
| title_full | Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience |
| title_fullStr | Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience |
| title_full_unstemmed | Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience |
| title_short | Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience |
| title_sort | feasibility and safety of bariatric surgery in high risk patients a single center experience |
| url | http://dx.doi.org/10.1155/2018/7498258 |
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