Mortality After Bariatric Surgery

Morino, Mario; Toppino, M; Forestieri, Pietro; Angrisani, Luigi; Allaix, Marco Ettore; Scopinaro, Nicola

doi:10.1097/sla.0b013e31815c404e

Cited by 245 publications

(47 citation statements)

References 27 publications

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“…After bariatric surgery, cardiopulmonary complications such as myocardial infarction and pulmonary embolism are the major causes of mortality, representing 70% of all deaths (25). The overall mortality rate for RYGB performed in centers of excellence is 0.4% (8).…”

Section: Complications Of Metabolic Surgerymentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Metabolic effects of bariatric surgery

Corcelles

Daigle

Schauer

2016

European Journal of Endocrinology

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Obesity is associated with an increased risk of type 2 diabetes, hypertension, dyslipidemia, cardiovascular disease, osteoarthritis, numerous cancers and increased mortality. It is estimated that at least 2.8 million adults die each year due to obesity-related cardiovascular disease. Increasing in parallel with the global obesity problem is metabolic syndrome, which has also reached epidemic levels. Numerous studies have demonstrated that bariatric surgery is associated with significant and durable weight loss with associated improvement of obesity-related comorbidities. This review aims to summarize the effects of bariatric surgery on the components of metabolic syndrome (hyperglycemia, hyperlipidemia and hypertension), weight loss, perioperative morbidity and mortality, and the long-term impact on cardiovascular risk and mortality.

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Section: Complications Of Metabolic Surgerymentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Metabolic effects of bariatric surgery

Corcelles

Daigle

Schauer

2016

European Journal of Endocrinology

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“…These ‘marginal ulcers’ are consequent to the exposure of the unprotected jejuna mucosa to gastric acidity. Medical treatment with proton pump inhibitors is sufficient for the majority of cases, although there is a select group of patients who continue to suffer from symptomatic, non-healing ulcers, despite appropriate medical treatment, and who require surgical intervention [9,10]. …”

Section: Late Morbiditymentioning

confidence: 99%

“…These include sepsis from an anastomotic dehiscence, shock secondary to hemorrhage or cardiopulmonary events in this high-risk comorbid population. All obese surgical candidates have an increased risk for thromboembolic phenomena, and this is the leading cause of death following bariatric surgery, with an incidence of <0.5% [8,9,10]. …”

Section: Perioperative Morbidity and Mortalitymentioning

confidence: 99%

Principles and Results of Bariatric Surgery

Lundell

2012

Dig Dis

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Bariatric surgery is followed by substantial and durable weight loss and associated with it favorable metabolic effects far beyond those achieved by lifestyle modifications and pharmacological treatments. The perioperative and postoperative morbidity and mortality have decreased significantly over the years to the level that bariatric surgery now can compare with other frequently recommended and well-accepted procedures such as cholecystectomy and hysterectomy. In fact, the postoperative mortality risk of bariatric surgery is far lower than that of coronary artery bypass surgery but with significantly greater improvement in long-term mortality. Much of the improvement in perioperative morbidity and mortality can be attributed to advances in many components of the care chain such as the introduction of laparoscopic surgery, as well as establishment of a nationwide center of excellence network and required outcome reporting. Extensive evidence on safety and efficacy supports bariatric surgery as the standard of care for treatment of severe obesity. Bariatric surgery reduces the risk of global mortality, all-cause mortality and cardiovascular mortality when compared to obese control patients. Both gastric banding and gastric bypass seem to reduce mortality risk.

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“…Mortality in bariatric patients is related to both the general complications (cardiorespiratory failure, pulmonary embolism, rhabdomyolisis, RH, wound complications) and specific surgical complications which depend on the procedure type (0.1% for pure restrictive methods and 0.5% for bypass surgery). By careful selection of the most appropriate procedure for the each patient and adequate follow-up, specific complication can be avoided or at least reduced [7,8,9]. …”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Management of Acute and Early Complications of/after Bariatric Surgery

Peterko

Kirac²,

Gaurina³

et al. 2012

Dig Dis

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The number of obese people is over one billion worldwide, and the trend is increasing. Frequent failure of conservative approach has been observed. Therefore, various surgical techniques, such as bariatric surgery, are accepted today as a safe and effective treatment of morbid obese condition, and are associated with low perioperative morbidity and mortality rates. The most popular and commonly performed procedures are those related to minimum complications and adequate weight loss: laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass. Since major and minor complications occur in the perioperative, early and late postoperative period, we discuss most frequent complications and importance of early recognition as well as adequate interventions.

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Mortality After Bariatric Surgery

Cited by 245 publications

References 27 publications

MANAGEMENT OF ENDOCRINE DISEASE: Metabolic effects of bariatric surgery

MANAGEMENT OF ENDOCRINE DISEASE: Metabolic effects of bariatric surgery

Principles and Results of Bariatric Surgery

Diagnosis and Management of Acute and Early Complications of/after Bariatric Surgery

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