The Relationship Between Tachycardia After Laparoscopic Sleeve Gastrectomy and the Development of Postoperative Complications.

Autor: Sayida S; Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.; Department of General Surgery, The Nazareth Hospital EMMS, Nazareth, Israel., Obeid A; Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.; Department of General Surgery, The Nazareth Hospital EMMS, Nazareth, Israel., Jubran L; Department of General Surgery, Rambam Health Care Campus, Haifa, Israel., Mualem TY; Department of General Surgery, Rambam Health Care Campus, Haifa, Israel., Assalia A; Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel., Mahajna A; Department of General Surgery, Rambam Health Care Campus, Haifa, Israel. a_mahajna@rambam.health.gov.il.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. a_mahajna@rambam.health.gov.il.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2022 May; Vol. 32 (5), pp. 1479-1485. Date of Electronic Publication: 2022 Mar 05.
DOI: 10.1007/s11695-022-05938-9
Abstrakt: Background: Bariatric surgery can be associated with severe complications. Tachycardia is an important indicator of certain complications, such as anastomotic leak and hemorrhage. Our aim was to examine the relationship between tachycardia following sleeve gastrectomy and the appearance of associated complications.
Methods: Patients who underwent sleeve gastrectomy over a 2-year period were included in the study. Participants were divided into two groups: the first included patients who suffered from postoperative tachycardia and the second patients with normal postoperative heart rates. Complications in both groups were examined. Other parameters that predict the onset of complications were also reviewed.
Results: A total of 457 patients were included. Postoperative tachycardia was measured in 181 (39.6%) patients; 17 (3.7%) suffered from bleeding and 4 (1%) from staple line leakage. Postoperative bleeding was more common among patients with tachycardia than among those without (14 (7.7%) vs. 3 (1.1%), respectively). Patients in the tachycardia group had more staple line leakages than those in the normal heart rate group (3 (2%) vs. 1 (0%), respectively); tachycardia was also attributed to postoperative pain or other minor complications in 160 (88%) patients. Age ≥ 40 years was found to be predictive factor for postoperative complications.
Conclusions: The most common causes of tachycardia postoperatively were pain and minor complications. Tachycardia is an essential indicator of postoperative minor and major complications, mainly staple line leakage and bleeding. This should prompt immediate medical intervention in order to avoid serious adverse events.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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