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. 2018 Jan 14:2018:7498258.
doi: 10.1155/2018/7498258. eCollection 2018.

Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience

Yusef Moulla  1 , Orestis Lyros  1 , Matthias Blüher  2   3 , Philipp Simon  4 , Arne Dietrich  1   2
Affiliations

Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience

Yusef Moulla et al. J Obes. .

Abstract

Introduction: Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons.

Methods: We retrospectively analyzed high-risk patients, who underwent bariatric surgery in University Hospital Leipzig between May 2012 and December 2016. High-risk patients were defined when (Bergeat et al., 2016) at least one of the following risk factors was met: age ≥ 70 years, body mass index (BMI) > 70 kg/m2, liver cirrhosis, end-organ failure, or immunosuppression by status after organ transplantation along with (Birkmeyer et al., 2010) at least two comorbidities associated with obesity. Our analysis included early postoperative complications.

Results: A total of 25 high-risk obese patients were identified. All patients had a standardized postoperative management with a mean length of hospital stay of 4 ± 1.4 days. One patient required an operative revision due to a stapler line leak after sleeve gastrectomy. No other major postoperative complications occurred.

Conclusion: Bariatric surgery for severe high-risk patients can be performed safely in high-volume centers following standardized procedures.

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Figures

Figure 1
Figure 1
The number of patients in each high-risk subgroup (%).
Figure 2
Figure 2
The rate of postoperative complications within 30 days after the surgery in the high-risk group.
See this image and copyright information in PMC

References

    1. Chang S. H., Stoll C. R. T., Song J., et al. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surgery. 2014;149(3):275–287. doi: 10.1001/jamasurg.2013.3654. - DOI - PMC - PubMed
    1. Bergeat D., Lechaux D., Ghaina A., Thibault R., Bouygues V. Postoperative outcomes of laparoscopic bariatric surgery in older obese patients: a matched case-control study. Obesity Surgery. 2016;27(6):1414–1422. doi: 10.1007/s11695-016-2517-1. - DOI - PubMed
    1. Melissas J., Stavroulakis K., Tzikoulis V., et al. Sleeve gastrectomy vs. Roux-en-Y gastric bypass. Data from IFSO-European Chapter Center of Excellence Program. Obesity Surgery. 2016;27(4):847–855. doi: 10.1007/s11695-016-2395-6. - DOI - PubMed
    1. Olbers T., Beamish A. J., Gronowitz E., et al. Laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity (AMOS): a prospective, 5-year, Swedish nationwide study. The Lancet Diabetes and Endocrinology. 2017;5(3):174–183. doi: 10.1016/S2213-8587(16)30424-7. - DOI - PMC - PubMed
    1. Sjöström L., Narbro K., Sjöström C. D., et al. Effects of bariatric surgery on mortality in Swedish obese subjects. New England Journal of Medicine. 2007;357:741–752. doi: 10.1056/NEJMoa066254. - DOI - PubMed

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