Respiratory deterioration following laparoscopic adjustable gastric banding: A three-year follow-up of over 3,000 subjects
Autor: | Or Kalchiem-Dekel, Lechaim Naggan, Nimrod Maimon, Shiri Savir |
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Rok vydání: | 2015 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Pediatrics Time Factors Gastroplasty Respiratory Tract Diseases 030209 endocrinology & metabolism Cohort Studies 03 medical and health sciences 0302 clinical medicine Postoperative Complications Weight loss Risk Factors medicine Humans Esophageal Motility Disorders 030212 general & internal medicine Obesity Respiratory system Israel COPD business.industry Medical record Incidence Patient Selection Emergency department Odds ratio Middle Aged medicine.disease Surgery Obstructive sleep apnea Treatment Outcome Quality of Life Female Laparoscopy medicine.symptom business Body mass index |
Zdroj: | Respiratory medicine. 115 |
ISSN: | 1532-3064 |
Popis: | Background Obesity is considered a global epidemic. Until recently, laparoscopic adjustable gastric binding (LAGB) was routinely offered as a means of weight reduction for selected patient populations. Previous case series have documented several pulmonary complications following LAGB. In the current study, we explored the rate of long-term respiratory deterioration associated with LAGB. Methods The study is a historical cohort study of medical records of subjects who underwent LAGB at Soroka University Medical Center in Israel between January 1997 and July 2008. After the exclusion of short-term respiratory events, respiratory morbidity during the three years following the operation was compared with that three years prior to the operation. Subjects whose respiratory status worsened following surgery were further compared with those whose status either remained unchanged or improved. Results The final analysis included 3084 subjects, of whom 709 (22.9%) had documented respiratory morbidity following surgery. Compared to pre-operative respiratory status, respiratory deterioration following LAGB was found in 590 subjects (19.1%). Risk factors associated with the worsening of respiratory status were age ≤28 or ≥46 years (odds ratio [OR] = 1.32, 95% confidence interval [CI]: 1.02–1.71 and OR = 1.42, 95% CI: 1.09–1.85, respectively), female gender (OR = 1.31, 95% CI: 1.06–1.63), and pre-operative documentation of respiratory morbidity. Conclusions The rate of deterioration in the respiratory status observed among subjects who underwent LAGB was high. Consequently, physicians should be aware of the possible link, even years after the surgery, between respiratory symptoms and a history of LAGB. |
Databáze: | OpenAIRE |
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