The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients

Ying, Lee D.; Chao, Grace F.; Canner, Joseph; Graetz, Elena; Ghiassi, Saber; Schwartz, Jennifer S.; Zolfaghari, Emily J.; Schneider, Eric B.; Gibbs, Karen E.

doi:10.1007/s11695-023-06944-1

OBES SURG

2023

DOI: 10.1007/s11695-023-06944-1

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The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients

Lee D. Ying,

Grace F. Chao,

Joseph Canner

et al.

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2024

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Cited by 2 publications

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Risk of venous thromboembolism and arterial events in patients with hypoalbuminemia: a comprehensive meta-analysis of more than 2 million patients

Valeriani,

Pannunzio,

Palumbo

et al. 2024

Journal of Thrombosis and Haemostasis

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Risk of venous thromboembolism and arterial events in patients with hypoalbuminemia: a comprehensive meta-analysis of more than 2 million patients

Valeriani,

Pannunzio,

Palumbo

et al. 2024

Journal of Thrombosis and Haemostasis

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Impact of Preoperative Weight Loss on 30-Day Complication Rate after Bariatric Surgery

Saleh,

Farag,

Medhati

et al. 2024

Journal of the American College of Surgeons

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Background: The aim of this study is to evaluate the impact of pre-operative weight loss on surgical outcomes and OR times after primary bariatric procedures, including Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (RYGB). Study Design: A retrospective cohort study utilizing the 2021 MBSAQIP dataset. Pre-operative total weight loss (TWL)% was calculated. Patients were then divided in to 4 groups: those with no weight loss, lost 0<-<5%, lost 5%≤–<10%, or lost ≥10% TWL preoperatively. These groups were then stratified into those with BMI<50 and those with BMI ≥50 and 30-day outcomes and OR times were compared. Results: Analysis included 171,010 patients. For BMI<50, pre-operative weight loss led to no consistent improvement in surgical outcomes. While 0<-<5% TWL, led to a decrease in intra- and post- operative occurrences after RYGB, and a decrease in re-operation rates after LSG, these observations were not seen in those with higher degree of weight loss. In patients with BMI≥50, pre-operative weight loss showed a consistent improvement in re-intervention rates after LSG, and readmission rates after RYGB. There was no improvement in other outcomes however, irrespective of degree of pre-operative weight loss. Conclusion: In patients undergoing primary bariatric surgery, pre-operative weight loss does not lead to a consistent improvement in outcomes or OR times. In those with BMI≥50 there may be improvement in select outcomes that is procedure specific. Overall, this data does not support a uniform policy of pre-operative weight loss, although selective use in some high-risk patients may be appropriate.

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The Degree of Preoperative Hypoalbuminemia Is Associated with Risk of Postoperative Complications in Metabolic and Bariatric Surgery Patients

Cited by 2 publications

References 43 publications

Risk of venous thromboembolism and arterial events in patients with hypoalbuminemia: a comprehensive meta-analysis of more than 2 million patients

Risk of venous thromboembolism and arterial events in patients with hypoalbuminemia: a comprehensive meta-analysis of more than 2 million patients

Impact of Preoperative Weight Loss on 30-Day Complication Rate after Bariatric Surgery

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