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. 2003 Dec;17(12):1900-4.
doi: 10.1007/s00464-003-8810-9. Epub 2003 Oct 13.

Preoperative factors predictive of complicated postoperative management after Roux-en-Y gastric bypass for morbid obesity

R Gonzalez  1 , S P Bowers, K R Venkatesh, E Lin, C D Smith
Affiliations

Preoperative factors predictive of complicated postoperative management after Roux-en-Y gastric bypass for morbid obesity

R Gonzalez et al. Surg Endosc. 2003 Dec.

Abstract

Introduction: This study was undertaken to determine preoperative predictive factors of complicated postoperative management after Roux-en-Y gastric bypass (RYGB) for morbid obesity.

Methods: Between January 1999 and January 2002, 158 patients who underwent a RYGB received a standardized preoperative evaluation and data were collected prospectively. Complicated postoperative management was defined as patients requiring postoperative ICU admission for > or =48 h, or those needing transfer from the floor to the ICU. Patients with complicated management were compared with those in whom ICU admission was not necessary.

Results: Twenty-three patients (14.5%) required prolonged ICU admission (mean stay of 6.3 +/- 1.7 days). After multivariate analysis, body mass index (BMI) >50 kg/m2, forced expiratory volume (FEV1) <80% predicted, previous abdominal surgeries, and abnormal EKG were found to be independently associated with an increased likelihood of complicated postoperative care.

Conclusion: BMI >50 kg/m2, FEV1 <80% predicted, previous abdominal surgeries, and abnormal EKG increase the likelihood of complicated postoperative management after RYGB for morbid obesity.

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References

    1. Med Clin North Am. 2001 Sep;85(5):1129-39 - PubMed
    1. J Am Coll Surg. 1997 Dec;185(6):593-603 - PubMed
    1. J Surg Res. 2002 Jun 1;105(1):48-52 - PubMed
    1. Chest. 2001 Dec;120(6):1989-97 - PubMed
    1. Am J Cardiol. 1995 May 1;75(14):956-9 - PubMed

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