The effect of smoking on bariatric surgical outcomes

Haskins, Ivy N.; Amdur, Richard; Vaziri, Khashayar

doi:10.1007/s00464-014-3581-z

Cited by 78 publications

(48 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The independent effect of preoperative cigarette smoking on bariatric surgical outcomes remains unclear. However, despite the paucity of data, many bariatric surgeons recommend smoking cessation prior to the planned bariatric procedure (Haskins et al 2014), although it is not considered an absolute contraindication to bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The increased perioperative morbidity related with cigarette smoking is thought to be a combination of both its long-term health consequences and acute toxic effects (Haskins et al 2014). …”

Section: Introductionmentioning

confidence: 99%

“…A recent study conducted by Hanskins et al (2014) on 41,445 patients undergoing bariatric surgery (35,696 laparoscopic; 5749 open), revealed that smoking significantly increased pulmonary complications (prolonged intubation, re-intubation, and pneumonia), organ space infection, and length of hospital stay in all types of bariatric surgery. Therefore, smoking cessation is encouraged in order to minimize postoperative morbidity in bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of eating habits and lifestyle in patients with obesity before and after bariatric surgery: a single Italian center experience

et al. 2016

View full text Add to dashboard Cite

BackgroundThe study evaluated and compared the eating habits and lifestyle of patients with moderate to severe obesity who have undergone Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG).MethodsFood frequency (FF), food habits (FH), physical activity and life style (PA) as well as smoking habits (SH) were analyzed in 50 RYGB (25 M; aged: 24–64) and 50 SG patients (25 M; aged: 22–63) by means of a validated questionnaire, before (T0) and 6 months (T1) post bariatric surgery. A score for each section (FF, FH, PA, SH) was calculated.ResultsANOVA analysis (age/sex adjusted): FF and FH scores improved at T1 (RYGB and SG: p < 0.001); PA score improved but not significantly; SH score did not change at T1 neither in RYGB nor in SG. Mixed models: FF and PA scores did not correlate with age, gender, weight, BMI, neither in RYGB nor in SG; FH score was negatively correlated both with weight (RYGB: p = 0.002) and BMI (SG: p = 0.003); SH score was positively correlated with age, in SG (p = 0.002); the correlation was stronger in females than in males (p = 0.004).ConclusionsAlthough dietary habits improved, patients did not change their physical activity level or their smoking habits. Patients should receive adequate lifestyle counseling to ensure the maximal benefit from bariatric surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of eating habits and lifestyle in patients with obesity before and after bariatric surgery: a single Italian center experience

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Smoking is a recognised risk factor for adverse health [25], adverse perioperative outcomes for those undergoing bariatric surgery [26], and higher risks of marginal ulcer in those undergoing gastric bypass [27]. Many funders and surgical programmes seek to increase the healthcare benefits of bariatric surgery by using the opportunity to influence other behavioural issues associated with poor health.…”

Section: Smoking Cessationmentioning

confidence: 99%

Preoperative Interventions for Patients Being Considered for Bariatric Surgery: Separating the Fact from Fiction

et al. 2015

View full text Add to dashboard Cite

Preoperative interventions aimed at patients referred for bariatric surgery continue to divide funders, commissioners, and practitioners alike. A number of preoperative interventions and variables have been used to influence patient selection. Many of these are believed to lead to better postoperative outcomes by helping target a limited resource (bariatric surgery) at those most likely to benefit. Inevitably, this leads to competition amongst patients and some being denied benefits of surgery. There is a risk that these strategies for resource allocation may actually deprive the most vulnerable and those most in need. This review examines evidence and justification behind popular preoperative interventions for patients being considered for bariatric surgery patients in the light of published English language scientific literature.

show abstract

“…Besides weight loss, it contributes to improvements in comorbidity and reduces mortality [1,2]. Smoking has been associated with postoperative complications and mortality in bariatric surgery [3][4][5]. Short-term effects of smoking cessation have shown to significantly improve pulmonary function and immune function [6,7], and smoking cessation is thereby likely to decrease postoperative complications [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Smoking Compared to Serum Cotinine in Bariatric Surgery Patients: Smoking Is Underreported Before the Operation

et al. 2019

View full text Add to dashboard Cite

Background Smoking has been associated with postoperative complications and mortality in bariatric surgery. The evidence for smoking is based on self-report and medical charts, which can lead to misclassification and miscalculation of the associations. Determination of cotinine can objectively define nicotine exposure. We determined the accuracy of self-reported smoking compared to cotinine measurement in three phases of the bariatric surgery trajectory. Methods Patients in the phase of screening (screening), on the day of surgery (surgery), and more than 18 months after surgery (follow-up) were consecutively selected. Self-reported smoking was registered and serum cotinine was measured. We evaluated the accuracy of self-reported smoking compared to cotinine, and the level of agreement between self-report and cotinine for each phase. Results In total, 715 patients were included. In the screening, surgery, and follow-up group, 25.6%, 18.0%, and 15.5%, respectively, was smoking based on cotinine. The sensitivity of self-reported smoking was 72.5%, 31.0%, and 93.5% in the screening, surgery, and follow-up group, respectively (p < 0.001). The specificity of self-report was > 95% in all groups (p < 0.02). The level of agreement between self-report and cotinine was 0.778, 0.414, and 0.855 for the screening, surgery, and follow-up group, respectively. Conclusions Underreporting of smoking occurs before bariatric surgery, mainly on the day of surgery. Future studies on effects of smoking and smoking cessation in bariatric surgery should include methods taking into account the issue of underreporting.

show abstract

The effect of smoking on bariatric surgical outcomes

Cited by 78 publications

References 21 publications

Evaluation of eating habits and lifestyle in patients with obesity before and after bariatric surgery: a single Italian center experience

Evaluation of eating habits and lifestyle in patients with obesity before and after bariatric surgery: a single Italian center experience

Preoperative Interventions for Patients Being Considered for Bariatric Surgery: Separating the Fact from Fiction

Self-Reported Smoking Compared to Serum Cotinine in Bariatric Surgery Patients: Smoking Is Underreported Before the Operation

Contact Info

Product

Resources

About