Body Mass Index is Predictive of Higher In-hospital Mortality in Patients Undergoing Laparoscopic Gastric Bypass but Not Laparoscopic Sleeve Gastrectomy or Gastric Banding

Villamere, James; Gebhart, Alana; Vu, Stephen; Nguyen, Ninh T.

doi:10.1177/000313481408001028

Cited by 20 publications

(6 citation statements)

References 20 publications

(22 reference statements)

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“…Patients that underwent LSG had a mean loss of 46.66% EBW, with a mean BMI of 64 kg/m2 before surgery and 46.44 kg/m2 after surgery. These results are acceptable and did not have higher complications, coinciding with Villamere that LSG is safe without increased risk 33 . Gonzalez-Heredia's study reported poor weight loss after LSG 34 , however, in our study, the weight loss for patients who underwent LSG was acceptable, even in the long-term follow-up, as demonstrated by Arapis 35 .…”

Section: Discussionsupporting

confidence: 65%

Bariatric Surgery in Super-Superobese Patients Maintains Metabolic Improvement Beyond The Failure in Expected Weight Loss.

Susmallian

Raziel

Babis

et al. 2021

Preprint

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Background Extreme obesity leads to increased health risks and perioperative complications. The results of bariatric surgery in patients with super-super obesity (SSO) are presented in this study. Methods From April 2008 to August 2019, 60 patients with SSO underwent bariatric surgery. Their weight loss and surgical outcome were analyzed. The mean follow-up time was 7.2 years. Results At baseline, the mean age was 41.5 years old, the mean BMI was 63.8 kg/m2, 80% of the patients suffered from co-morbidities, and 23.33% were revisional surgeries. Weight loss continued for up to two years after surgery. The percentage of EBW lost at two years was 62.27%, from two to five years: 61.48%, from five to 10 years: 36.82% and after ten years it was 31.89%, the differences in weight change over the time is significative (P<.001). The mean BMI at last visit (Mean 7.2 years) was 45.1 kg/m2 and 48.33% of the patients failed to lose at least 50% of EBW. Patients with fatty liver, diabetes, sleep apnea and hyperlipidemia had a remission or improvement in more than 70% of the cases. There were 5% perioperative complications, one perioperative death (1.67%) and other patient died in a motor vehicle accident, overall mortality 3.33%. Conclusion In the long term, almost half of the patients failed to lose 50% of their EBW. However, the metabolic effects of bariatric surgery were maintained during the follow-up time with a high remission of comorbidities. Revisional bariatric surgery increased the risk of mortality.

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Section: Discussionsupporting

confidence: 65%

Bariatric Surgery in Super-Superobese Patients Maintains Metabolic Improvement Beyond The Failure in Expected Weight Loss.

Susmallian

Raziel

Babis

et al. 2021

Preprint

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“…It is remarkable that the present study showed that a gastric bypass is associated with a higher likelihood (OR) of achieving TO compared to sleeve gastrectomy, while recent literature claims the opposite. [31,32] This is most probably due to the large number of RYGB procedures in the Netherlands and the associated experience gained with this procedure.…”

Section: Discussionmentioning

confidence: 99%

Textbook Outcome: an Ordered Composite Measure for Quality of Bariatric Surgery

et al. 2018

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Introduction Textbook outcome (TO) studies have previously shown that a composite measure can provide additional information on the overall quality of surgical care. However, these were binominal outcomes which do not give individual hospitals the required information on how to improve their performance. The aim of this study is to create an ordered TO consisting of multiple outcome parameters for bariatric surgery to assess the extent of hospital variation. Methods Patients who underwent a primary bariatric procedure in the Netherlands were included for analyses. The outcomes were ordered as mortality, severe postoperative complications, readmission, mild complications and prolonged length of stay (LOS) within 30 days after primary surgery with TO defined as none of these outcomes occurring. Hospitals were identified with a significantly higher or lower observed/expected ratio than expected based on case-mix and the extent of hospital variation was expressed as the median and interquartile range (IQR). Results From a total of 27,360 patients on average, 88.7% reached TO (range 35.5-96.9%). Two hospitals had less than expected TO due to more prolonged LOS (57.6%) in one hospital and more mild complications in another (17.1%). Hospital variation was much smaller for TO (median OR 0.91 IQR [0.62-1.06]) than for an ordered TO (median POR 0.66 IQR [0.55-0.96]). Conclusion Using the ordered TO for bariatric surgery, more hospital variation was captured thereby enabling individual hospitals to identify which outcomes and specific groups need improvement. This could attribute to the ongoing effort to improve the quality of the outcome of bariatric surgery.

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“…In all of these patients, the reflux symptoms disappeared in the post-operative period. SG can be performed more easily and safely than other surgical procedures given the large liver volume, limited intraabdominal operating space, increased abdominal wall thickness, and increased abdominal fat tissue [38].…”

Section: Discussionmentioning

confidence: 99%

A Single-Center Experience: What is the Effect of Sleeve Gastrectomy in Patients With a BMI ≥ 50 kg/m²?

Ozturk¹,

Çelik²

2022

Cureus

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Background: Our research aimed to see how sleeve gastrectomy (SG) affects weight loss and comorbidities in patients with a body mass index (BMI) ≥ 50 kg/m². Materials and methods: Prospectively kept data of patients with a BMI ≥50 kg/m² who underwent SG between February 2016 and February 2020 were evaluated.Results: A total of 138 patients with a BMI ≥ 50 kg/m² were operated on. The average BMI was 56.36±7.661, the average age was 37.41±12.33. Forty-eight patients underwent concomitant cholecystectomy and/or hiatal hernia repair (HHR). The percentage of excess weight loss (EWL%) of patients at the 3rd,

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Body Mass Index is Predictive of Higher In-hospital Mortality in Patients Undergoing Laparoscopic Gastric Bypass but Not Laparoscopic Sleeve Gastrectomy or Gastric Banding

Cited by 20 publications

References 20 publications

Bariatric Surgery in Super-Superobese Patients Maintains Metabolic Improvement Beyond The Failure in Expected Weight Loss.

Bariatric Surgery in Super-Superobese Patients Maintains Metabolic Improvement Beyond The Failure in Expected Weight Loss.

Textbook Outcome: an Ordered Composite Measure for Quality of Bariatric Surgery

A Single-Center Experience: What is the Effect of Sleeve Gastrectomy in Patients With a BMI ≥ 50 kg/m²?

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