Sleeve Gastrectomy Postoperative Hemorrhage is Linked to Type-2 Diabetes and Not to Surgical Technique

Background The degree, prevalence, and risk factors linked to sleeve gastrectomy (SG) postoperative hemorrhage (POH) have not been fully defined. Methods An analysis was conducted on a prospectively collected database of 394 consecutive primary SGs performed in a single practice from January 2014 to...

Full description

Saved in:
Bibliographic Details
Published in:Obesity surgery 2017-11, Vol.27 (11), p.2927-2932
Main Authors: Spivak, Hadar, Azran, Carmil, Spectre, Galia, Lidermann, Galina, Blumenfeld, Orit
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Comorbidity
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - surgery
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrectomy - statistics & numerical data
Gastrointestinal surgery
Hemorrhage
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Male
Medicine
Medicine & Public Health
Metabolic disorders
Middle Aged
Obesity
Obesity, Morbid - complications
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Original Contributions
Postoperative Hemorrhage - epidemiology
Postoperative Hemorrhage - etiology
Postoperative Period
Retrospective Studies
Risk Factors
Surgery
Surgical Stapling - adverse effects
Surgical Stapling - methods
Surgical Stapling - statistics & numerical data
Surgical techniques
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The degree, prevalence, and risk factors linked to sleeve gastrectomy (SG) postoperative hemorrhage (POH) have not been fully defined. Methods An analysis was conducted on a prospectively collected database of 394 consecutive primary SGs performed in a single practice from January 2014 to December 2015. End points: (1) acute POH, defined by red blood cell (RBC) transfusion and/or re-exploration; (2) subclinical POH, defined by postoperative hemoglobin drop (HgbD) >one standard deviation above mean. Variables tested included three surgical techniques: normal stapling ( n  = 137), “tight” stapling, ( n  = 142) and oversewing, ( n  = 115); age; gender; body mass index (BMI); co-morbidities; and elevated postoperative systolic blood pressure. Results Acute POH occurred in 11/394 patients (2.8%) and subclinical POH (HgbD > 2.2 g/dL) was detected in 27/312 (7.7%) of patients with available HgbD data. Acute POH patients had a mean HgbD of 5.43 ± 1.40 g/dl ( p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-017-2731-5