Surgical endoscopy · 2003
Preoperative factors predictive of complicated postoperative management after Roux-en-Y gastric bypass for morbid obesity.
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Gonzalez R, Bowers S P, Venkatesh K R, Lin E, Smith C D
Аннотация
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.
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.
Предметные рубрики MeSH
AdultAnastomosis, Roux-en-YBody Mass IndexCardiovascular DiseasesComorbidityElectrocardiographyFemaleForced Expiratory VolumeGastric BypassGastrointestinal HemorrhageHumansKidney Failure, ChronicMaleMiddle AgedObesity, MorbidPostoperative ComplicationsProspective StudiesRespiration DisordersRisk FactorsSepsisSurgical Wound Dehiscence