Prevalence of vasovagal syncope following bariatric surgery.

Autor: Al Obeed OA; Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.; Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., Traiki TB; Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., Alfahad YF; Department of Cardiac Sciences, College of Medicine, King Saud University and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia., Abdulla MH; Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.; Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., AlAli MN; Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., Alharbi AA; Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., Alharbi R; Department of Surgery, College of Medicine, Prince Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia., Nouh T; Trauma and Acute Care Surgery Unit, Department of Surgery, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., Hersi A; Department of Cardiac Sciences, College of Medicine, King Saud University and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
Jazyk: angličtina
Zdroj: Saudi journal of anaesthesia [Saudi J Anaesth] 2021 Apr-Jun; Vol. 15 (2), pp. 161-164. Date of Electronic Publication: 2021 Apr 01.
DOI: 10.4103/sja.SJA_922_20
Abstrakt: Background: Obesity is a major global public health problem. Observational studies have shown an increasing incidence of syncope and pre-syncope following bariatric surgery in obese patients. However, there is paucity of the true incidence of syncope following bariatrics sugary in the literature.
Methods: We have randomly surveyed 200 patients who underwent bariatric surgery between 2016-2018 using Calgary Syncope Score (CSS).
Results: Of the 200 patients enrolled, 107 (53.5%) were female with 167 patients (83.5%) between 18 and 50 years of age. The most-reported comorbidities were diabetes mellitus 26 (13%) hypertension 25 (12.5%) and pulmonary disease 18 (9%). The majority 98 (49%) of the patients had pre-operative body mass index (BMI) of 40-50 kg/m 2 , and most of them had laparoscopic sleeve gastrectomy (LSG). Sixty-two (31%) patients had vasovagal syncope (VVS), 52 (26%) patients had non-VVS and 86 (43%) had no syncope.
Conclusion: Vasovagal syncope in patients following bariatric sugary is quite common and affects 15% of bariatric patients in our series in the first year postoperatively. Further randomized controlled trials are required to prove our results.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2021 Saudi Journal of Anaesthesia.)
Databáze: MEDLINE
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