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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

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Free PMC article

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

Yusef Moulla et al. J Obes. .
Free PMC article

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.

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.

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