Complications Requiring Hospital Management After Bariatric Surgery

Abstract

Background: The actual gold standard technique for obesity treatment is the Roux-en-Y gastric bypass. However, complications may occur and the surgeon must be prepared for them. Aim: To evaluate retrospectively the complications occurrence and associated factors in patients who underwent bariatric surgery. Methods: In this study, 469 medical charts were considered, from patients and from data collected during outpatient consultations. The variables considered were gender, age, height, pre-operatory BMI, pre-operatory weight, pre-operatory comorbidities, time of hospital stay, postoperative complications that demanded re-admission to the hospital and the time elapsed between the procedure and the complication. The patients' follow up was, at least, one year. Results: The incidence of postoperative complications that demanded a hospital care was 24,09%. The main comorbidity presented in this sample was hepatic steatosis. The comorbidity that was associated with the postoperative period was type 2 diabetes. There was a tendency for the female gender be related to the complications. The cholecystectomy was the most frequent complication. Complications occurred during the first year in 57,35%. Conclusion: The most frequent complication was the need to perform a cholecystectomy, where the most frequent comorbidity was hepatic steatosis. Over half the complications occurred during the first year postoperatively. Type 2 diabetes was associated with the occurrence of postoperative complications; women had the highest incidence; body mass index was not associated with the occurrence of complications.

Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery

“…Because laparoscopic cholecystectomy has been described as the most frequent surgical operation performed after bariatric surgery [9] and controversies still exist with regard to screening and management, we performed a systematic review with the aim to establish guidelines governing the empiric removal of gallbladders, diseased or healthy, at the time of minimally invasive bariatric surgery. Additional objectives include the creation of guidelines for diagnostic biliary ultrasound before and after bariatric surgery, as well as the role of UDCA to prevent gallstones after bariatric surgery.…”

Percepção de risco da cirurgia bariátrica em pacientes com diferentes comorbidades associadas à obesidade

“…As pessoas tendem a avaliar situações de risco baseadas, em grande parte, na probabilidade de consequências de doenças associadas (Shiloh, Wade, Roberts, Alford, & Biesecker, 2013), que precipitam as complicações que podem ocorrer durante e após a cirurgia (Schauer et al, 2013;Wee et al, 2013;Wrzesinski et al, 2015). No entanto, o risco é um construto subjetivo cujas consequências de resultados podem diferir entre os indivíduos.…”

Risk Perception of Bariatric Surgery in Patients with Different Obesity-Related Comorbidities

“…People tend to assess risk situations based largely on the likelihood of consequences of associated diseases (Shiloh, Wade, Roberts, Alford, & Biesecker, 2013), which precipitate the complications that may occur during and after surgery (Schauer et al, 2013, Wee et al, 2013, Wrzesinski et al, 2015. However, risk is a subjective construct involving outcome consequences that may differ between individuals.…”