The Role of Preoperative Anemia in Predicting Short-Term Morbidity and Mortality After Roux-en-Y Gastric Bypass
| Autor: | Stuart K. Amateau, Tiffany R. Beckman, Sayeed Ikramuddin, Daniel B. Leslie, Eric S. Wise |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Reoperation Sleeve gastrectomy medicine.medical_specialty Anemia medicine.medical_treatment Gastric Bypass Hematocrit Patient Readmission Contraindications Procedure 03 medical and health sciences 0302 clinical medicine Weight loss Internal medicine medicine Humans Hospital Mortality 030212 general & internal medicine Risk factor Contraindication medicine.diagnostic_test business.industry General Medicine Odds ratio Middle Aged medicine.disease Obesity Morbid Preoperative Period Cohort Female 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | The American Surgeon. 87:1926-1933 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/0003134820982852 |
| Popis: | Background Preoperative anemia has been suggested as a contraindication to gastric bypass. Using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement database, this study sought to determine the role of preoperative hematocrit on 30-day morbidity and mortality after laparoscopic Roux-en-Y gastric bypass for weight loss. Methods A cohort of 31 981 patients was reviewed for factors associated with a composite primary end point including 30-day reoperation, readmission, reintervention, or mortality, including degree of anemia. Analyzed separately by gender, factors significant on bivariate analysis were included in nominal logistic multivariate analysis to assess for independent significance of the hematocrit level as a risk factor for the primary end point. Results Upon multivariate analysis, the hematocrit level was significantly associated with the 30-day end point in the male cohort ( P = .05), specifically, severe anemia (hematocrit Conclusion Bariatricians should carefully consider the appropriateness of a gastric bypass over a less anemogenic procedure such as sleeve gastrectomy in patients, particularly men with preoperative anemia. |
| Databáze: | OpenAIRE |
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