Diagnostic value of erythrocyte sedimentation rate levels as a predictor of staple-line leakage in bariatric surgery

Abstract

Aim: Bariatric surgery is an effective treatment for morbid obesity that has inevitable complications including postoperative bleeding and staple-line leakage. Erythrocyte sedimentation rate (ESR) can be a clinical indicator for prediction of leakage. Methods: This retrospective cohort study was done on 1999 patients who underwent sleeve gastrectomy in Erfan Niyayesh Hospital, Tehran, Iran. ESR levels of patients were evaluated in cases which had postoperative leak. Statistical analyses were performed using SPSS software. Results: Among the 2350 patients, 50 subjects experienced gastric leak (2.12%). ESR mean was 73.1 mm/h for cases, statistically significantly higher in patients with leakage compared to the control group. In addition, ESR serum level mean was 31.34 mm/h for control groups. Other variables including C-reactive protein and platelet count were not statistically significant. Conclusion: Higher ESR serum level can be seen in various conditions, and, in obese patients who undergo bariatric surgery, it can be a reliable predictor for postoperative gastric leak complication.

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

“…Gastrointestinal leakage usually presents as an immediate postoperative complication following bariatric surgery. 15,17 Therefore, signs and symptoms of leakage, including a drop in hemoglobin levels, hematochezia, hematemesis, or melena, should be considered for further evaluations. 18,19 On the other side, endoscopy is often performed as a routine diagnostic method to investigate of the leakage source.…”

“…Laparoscopic SG was performed for all individuals based on the standard protocol approved by the American Society for Metabolic and Bariatric Surgery. 15…”

“…Laparoscopic SG was performed for all individuals based on the standard protocol approved by the American Society for Metabolic and Bariatric Surgery. 15 Bariatric patients with acute leaks, chronic gastrocutaneous fistulas, and anastomotic strictures refractory to endoscopic dilation after SG were included in this survey. The study was a single-center study, approved by the Review Board of Erfan Hospital.…”

The effects of age on weight loss after sleeve gastrectomy

“…Laparoscopic sleeve gastrectomy was performed for all subjects based on the standard protocol under supervision of a specific surgeon with similar tools and same duration of operation. More details on the process of surgery has been published in our recent study (11).…”

Retraction: Diagnostic value of erythrocyte sedimentation rate levels as a predictor of staple-line leakage in bariatric surgery

“…This article [1] has been retracted by authors because there are unresolved issues relating to authorship and contents. All the authors confirmed this retraction.…”