Analysis of influencing factors for early complications after laparoscopic sleeve gastrectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

MA Yudong , ZHOU Aiming , GU Dezhi , PAN Cheng , WU Wei , YANG Li ,  WANG Zhengdong

Weight Reduction and Metabolism Center, Xuzhou Medical University Affiliated Hospital of Lianyungang, Lianyungang, Jiangsu 222000, P. R. China;

Corresponding author：

WANG Zhengdong, Email: wzdtj111@163.com

Keywords：

obesity; laparoscopic sleeve gastrectomy; complication; risk factor

DOI：

10.7507/1007-9424.202211033

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the influencing factors for early complications after laparoscopic sleeve gastrectomy (LSG). Methods A retrospective analysis was conducted for the clinical data of 306 obese patients undergoing LSG at the Weight Reduction and Metabolism Center of Xuzhou Medical University Affiliated Hospital of Lianyungang from January 2020 to September 2022. Early postoperative complications (≤30 d) of LSG were classified according to the Clavien-Dindo classification, and the influencing factors of early postoperative complications were explored. Results There were 27 cases (8.8%) suffered from early complications, including 8 cases of grade Ⅰ (2.6%), 15 cases of grade Ⅱ (4.9%), 4 cases of grade Ⅲ (1.3%), there were no grade Ⅳ and grade Ⅴ complications. The multivariate results showed that BMI≥45 kg/m² [OR=3.63, 95%CI (1.10, 11.92)], high cholesterol [OR=7.12, 95%CI (2.42, 20.95)], and preoperative GERD [OR=3.69, 95%CI (1.11, 12.23)] were influencing factors for early complications. Conclusions LSG is a safe diagnostic and therapeutic method for treating obesity. Attention should be paid to the impact of BMI, high cholesterol, and preoperative GERD on the occurrence of complications after LSG.

Citation： MA Yudong, ZHOU Aiming, GU Dezhi, PAN Cheng, WU Wei, YANG Li, WANG Zhengdong. Analysis of influencing factors for early complications after laparoscopic sleeve gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(5): 582-586. doi: 10.7507/1007-9424.202211033 Copy

1.	吴恺琪, 曹新岭, 姚刚, 等. 腹腔镜袖状胃切除术治疗肥胖症及其合并症的研究进展. 中国普外基础与临床杂志, 2021, 28(8): 1098-1102.
2.	Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes–5-year outcomes. N Engl J Med, 2017, 376(7): 641-651.
3.	Peterli R, Wölnerhanssen BK, Vetter D, et al. Laparoscopic sleeve gastrectomy versus Roux-Y-gastric bypass for morbid obesity-3-year outcomes of the prospective randomized Swiss Multicenter Bypass Or Sleeve Study (SM-BOSS). Ann Surg, 2017, 265(3): 466-473.
4.	Woźniewska P, Diemieszczyk I, Hady HR. Complications associated with laparoscopic sleeve gastrectomy - a review. Prz Gastroenterol, 2021, 16(1): 5-9.
5.	Głuszyńska P, Diemieszczyk I, Szczerbiński Ł, et al. Risk factors for early and late complications after laparoscopic sleeve gastrectomy in one-year observation. J Clin Med, 2022, 11(2): 436. doi: 10.3390/jcm11020436.
6.	Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6 336 patients and results of a survey. Ann Surg, 2004, 240(2): 205-213.
7.	Lorente L, Ramón JM, Vidal P, et al. Obesity surgery mortality risk score for the prediction of complications after laparoscopic bariatric surgery. Cir Esp, 2014, 92(5): 316-323.
8.	Lin MJ, Chang YJ, Chen CY, et al. Influence of hypercholesterolemia and diabetes on long-term outcome in patients with stable coronary artery disease receiving percutaneous coronary intervention. Medicine (Baltimore), 2019, 98(34): e16927. doi: 10.1097/MD.0000000000016927.
9.	Dorman RB, Abraham AA, Al-Refaie WB, et al. Bariatric surgery outcomes in the elderly: an ACS NSQIP study. J Gastrointest Surg, 2012, 16(1): 35-44.
10.	Nickel F, de la Garza JR, Werthmann FS, et al. Predictors of risk and success of obesity surgery. Obes Facts, 2019, 12(4): 427-439.
11.	Steinbeisser M, McCracken J, Kharbutli B. Laparoscopic sleeve gastrectomy: preoperative weight loss and other factors as predictors of postoperative success. Obes Surg, 2017, 27(6): 1508-1513.
12.	Ledoux S, Sami O, Breuil MC, et al. Relevance of self-reported behavioral changes before bariatric surgery to predict success after surgery. Obes Surg, 2017, 27(6): 1453-1459.
13.	郭子豪, 刘昶. 腹腔镜袖状胃切除联合胃底折叠术对肥胖伴胃食管反流病的研究进展. 中国普外基础与临床杂志, [2023-04-18]. http://kns.cnki.net/kcms/detail/51.1505.R.20230307. 1649.012.html.
14.	Nguyen AD. Impact of bariatric surgery on gastroesophageal reflux disease and esophageal motility. Curr Opin Gastroenterol, 2021, 37(4): 364-371.
15.	Yeung KTD, Penney N, Ashrafian L, et al. Does sleeve gastrectomy expose the distal esophagus to severe reflux? A systematic review and meta-analysis. Ann Surg, 2020, 271(2): 257-265.
16.	Thereaux J, Barsamian C, Bretault M, et al. pH monitoring of gastro-oesophageal reflux before and after laparoscopic sleeve gastrectomy. Br J Surg, 2016, 103(4): 399-406.
17.	West R. Tobacco smoking: health impact, prevalence, correlates and interventions. Psychol Health, 2017, 32(8): 1018-1036.
18.	Haskins IN, Amdur R, Vaziri K. The effect of smoking on bariatric surgical outcomes. Surg Endosc, 2014, 28(11): 3074-3080.
19.	Husain F, Jeong IH, Spight D, et al. Risk factors for early postoperative complications after bariatric surgery. Ann Surg Treat Res, 2018, 95(2): 100-110.
20.	Creange C, Sethi M, Fielding G, et al. The safety of laparoscopic sleeve gastrectomy among diabetic patients. Surg Endosc, 2017, 31(2): 907-911.
21.	Guetta O, Vakhrushev A, Dukhno O, et al. New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure for type 2 diabetes patients. World J Diabetes, 2019, 10(2): 78-86.

1. 吴恺琪, 曹新岭, 姚刚, 等. 腹腔镜袖状胃切除术治疗肥胖症及其合并症的研究进展. 中国普外基础与临床杂志, 2021, 28(8): 1098-1102.
2. Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes–5-year outcomes. N Engl J Med, 2017, 376(7): 641-651.
3. Peterli R, Wölnerhanssen BK, Vetter D, et al. Laparoscopic sleeve gastrectomy versus Roux-Y-gastric bypass for morbid obesity-3-year outcomes of the prospective randomized Swiss Multicenter Bypass Or Sleeve Study (SM-BOSS). Ann Surg, 2017, 265(3): 466-473.
4. Woźniewska P, Diemieszczyk I, Hady HR. Complications associated with laparoscopic sleeve gastrectomy - a review. Prz Gastroenterol, 2021, 16(1): 5-9.
5. Głuszyńska P, Diemieszczyk I, Szczerbiński Ł, et al. Risk factors for early and late complications after laparoscopic sleeve gastrectomy in one-year observation. J Clin Med, 2022, 11(2): 436. doi: 10.3390/jcm11020436.
6. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6 336 patients and results of a survey. Ann Surg, 2004, 240(2): 205-213.
7. Lorente L, Ramón JM, Vidal P, et al. Obesity surgery mortality risk score for the prediction of complications after laparoscopic bariatric surgery. Cir Esp, 2014, 92(5): 316-323.
8. Lin MJ, Chang YJ, Chen CY, et al. Influence of hypercholesterolemia and diabetes on long-term outcome in patients with stable coronary artery disease receiving percutaneous coronary intervention. Medicine (Baltimore), 2019, 98(34): e16927. doi: 10.1097/MD.0000000000016927.
9. Dorman RB, Abraham AA, Al-Refaie WB, et al. Bariatric surgery outcomes in the elderly: an ACS NSQIP study. J Gastrointest Surg, 2012, 16(1): 35-44.
10. Nickel F, de la Garza JR, Werthmann FS, et al. Predictors of risk and success of obesity surgery. Obes Facts, 2019, 12(4): 427-439.
11. Steinbeisser M, McCracken J, Kharbutli B. Laparoscopic sleeve gastrectomy: preoperative weight loss and other factors as predictors of postoperative success. Obes Surg, 2017, 27(6): 1508-1513.
12. Ledoux S, Sami O, Breuil MC, et al. Relevance of self-reported behavioral changes before bariatric surgery to predict success after surgery. Obes Surg, 2017, 27(6): 1453-1459.
13. 郭子豪, 刘昶. 腹腔镜袖状胃切除联合胃底折叠术对肥胖伴胃食管反流病的研究进展. 中国普外基础与临床杂志, [2023-04-18]. http://kns.cnki.net/kcms/detail/51.1505.R.20230307. 1649.012.html.
14. Nguyen AD. Impact of bariatric surgery on gastroesophageal reflux disease and esophageal motility. Curr Opin Gastroenterol, 2021, 37(4): 364-371.
15. Yeung KTD, Penney N, Ashrafian L, et al. Does sleeve gastrectomy expose the distal esophagus to severe reflux? A systematic review and meta-analysis. Ann Surg, 2020, 271(2): 257-265.
16. Thereaux J, Barsamian C, Bretault M, et al. pH monitoring of gastro-oesophageal reflux before and after laparoscopic sleeve gastrectomy. Br J Surg, 2016, 103(4): 399-406.
17. West R. Tobacco smoking: health impact, prevalence, correlates and interventions. Psychol Health, 2017, 32(8): 1018-1036.
18. Haskins IN, Amdur R, Vaziri K. The effect of smoking on bariatric surgical outcomes. Surg Endosc, 2014, 28(11): 3074-3080.
19. Husain F, Jeong IH, Spight D, et al. Risk factors for early postoperative complications after bariatric surgery. Ann Surg Treat Res, 2018, 95(2): 100-110.
20. Creange C, Sethi M, Fielding G, et al. The safety of laparoscopic sleeve gastrectomy among diabetic patients. Surg Endosc, 2017, 31(2): 907-911.
21. Guetta O, Vakhrushev A, Dukhno O, et al. New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure for type 2 diabetes patients. World J Diabetes, 2019, 10(2): 78-86.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of influencing factors for early complications after laparoscopic sleeve gastrectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content