Effect of preoperative anxiety level on postoperative pain, analgesic consumption in patients undergoing laparoscopic sleeve gastrectomy: an observational cohort study

Pekcan, Yonca Özvardar; Tuncalı, Bahattin; Erol, Varlık

doi:10.1016/j.bjane.2021.11.003

Cited by 1 publication

(1 citation statement)

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“…Hogestol et al described depression as a predictive factor for chronic abdominal pain 8 . An observational cohort study found a significant correlation between the preoperative state anxiety score and postoperative pain after sleeve gastrectomy, however there was no correlation between the preoperative trait anxiety score and postoperative pain 38 . This might not come as a surprise since these are all wellknown risk factors for developing Persistent Post-Surgical Pain in general 39,40 .…”

Section: Risk Factorsmentioning

confidence: 96%

Chronic abdominal pain after bariatric surgery: a narrative review

Vogelaerts¹,

Pachtenbeke²,

Raudsepp³

et al. 2022

Acta Anaest Belg

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Objective: This paper reviews the prevalence, etiology, risk factors, diagnosis and prevention of chronic abdominal pain after bariatric surgery. Introduction: Chronic pain is a very common and complex problem that has serious consequences on individuals and society. It frequently presents as a result of a disease or an injury. Obesity and obesity-related comorbidities are a major health problem and are dramatically increasing year after year. Dieting and physical exercise show disappointing results in the treatment of obesity. Therefore, bariatric surgery is increasingly widely offered as a weight reducing strategy. In our pain clinic we see a lot of patients who suffer from chronic abdominal pain after bariatric surgery. This review aims to explore the link between chronic abdominal pain and bariatric surgery in this specific type of patients. Method: The review is based on searches in PubMed, Embase and Cochrane databases. Keywords are used in different combinations. We did a cross-reference of the articles included. Results: Chronic abdominal pain after bariatric surgery is very common. Around 30% of the bariatric patients experience persistent abdominal pain. An explanation for the abdominal pain is found in 2/3 of these patients. There is a wide variety of causes including behavioral and nutritional disorders, functional motility disorders, biliary disorders, marginal ulceration and internal hernia. Another, frequently overlooked, cause is abdominal wall pain. Unexplained abdominal pain after bariatric surgery is present in 1/3 of the patients with persistent abdominal pain. More studies are needed on the risk factors and prevention of unexplained abdominal pain in bariatric patients.

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Section: Risk Factorsmentioning

confidence: 96%