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Journals / Journal of Clinical and Experimental Investigations / 2026 / Cilt: 5 Sayı: 2

Anesthesia management in laparoscopic bariatric surgery: Perioperative complications and outcomes in the third year of practice

Laparoskopik bariatrik cerrahide anestezi yönetimi: 3 yıllık uygulamada perioperatif komplikasyonlar ve sonuçlar

Serkan Karaman
Serkan Doğru
Tugba Karaman
Hakan Tapar
Aynur Sahin
Semih Arıcı
Ziya Kaya
Mustafa Suren
Pages
200–205
Publication Date
2014-06-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

J Clin Exp Invest 2014; 5 (2): 200-205

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this study, we aimed to assess the perioperative and postoperative results of the patients who underwent bariatric surgery.
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Key Findings & Data:All adult patients who underwent laparoscopic gastric plication, sleeve gastrectomy, or roux-en-Y anastomosis between January 2011 and May 2013 were included.
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Conclusion & Impact:J Clin Exp Invest 2014; 5 (2): 200-205
🔬Design:Makale
📍Scope:2011 Verileri
⚙️Variables:Obezite · obezite cerrahisi · anestezi

Abstract

Objective: In this study, we aimed to assess the perioperative and postoperative results of the patients who underwent bariatric surgery. Methods: After obtaining approval, a retrospectively designed observational study was conducted. All adult patients who underwent laparoscopic gastric plication, sleeve gastrectomy, or roux-en-Y anastomosis between January 2011 and May 2013 were included. Results: A total of 104 patients were included in the study period: 49 (47.1%) underwent laparoscopic roux-en-Y anastomosis, 44 (42.3%) underwent laparoscopic sleeve gastrectomy, and 11 (10.6%) underwent laparoscopic gastric plication. The present study showed a mortality rate of 1.9% (n = 2, one after Roux-en-Y anastomosis operation, and the other one after gastric plication). Conclusion: The anesthesia methods and approaches have no association with morbidity and mortality in such procedures of bariatric surgery indicated in the present study. J Clin Exp Invest 2014; 5 (2): 200-205

Özet

Amaç: Bu çalışmada, bariatrik cerrahi operasyonu geçiren hastaların perioperatif ve postoperatif sonuçlarının değerlendirilmesi amaçlanmıştır. Yöntemler: Onam alındıktan sonra, retrospektif tasarlanan gözlemsel çalışma yapıldı. Ocak 2011 ve Mayıs 2013 yılları arasında laparoskopik gastrik plikasyon, sleeve gastrektomi ve roux-en-Y anastomoz operasyonları geçiren tüm yetişkin hastalar çalışmaya dâhil edildi. Bulgular: Çalışma süresince toplam 104 hasta dâhil edildi ve bunların; 49 (%47.1)'u laparoskopik roux-en-Y anastomoz, 44 (%42.3)'ü laparoskopik gastrik plikasyon, ve 11 (%10.6)'i laparoskopik gastrik plikasyon idi. Yapılan çalışmada %1.9 mortalite oranı (n = 2, roux-en-Y anastomoz operayonundan sonra bir vaka, ve gastrik plikasyon operasyonundan sonra bir vaka) saptanmıştır. Sonuç: Çalışmada belirtilen bariatrik cerrahi prosedürlerinde, morbidite ve mortalite ile anestezi metodu ve yaklaşımı arasında bir ilişki yoktur.

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Cite This Article

Karaman, S., Doğru, S., Karaman, T., Tapar, H., Sahin, A., Arıcı, S., Kaya, Z., Suren, M. (2014). Anesthesia management in laparoscopic bariatric surgery: Perioperative complications and outcomes in the third year of practice. Journal of Clinical and Experimental Investigations, Cilt: 5 Sayı: 2, 200–205. https://doi.org/10.5799/ahinjs.01.2014.02.0389

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References (32)

  1. Popkin BM, Doak CM. The obesity epidemic is a world- wide phenomenon. Nutr Rev 1998;56:106-114.
  2. Chan CP, Wang BY, Cheng CY, et al. Random- ized controlled triels in bariatric surgery. Obes Surg 2013;23:118-130.
  3. de la Matta-Martin M, Acosta-Martinez J, Morales- Conde S, Herrera-Gonzalez A. Perioperative mor- bi-mortality associated with bariatric surgery: from systematic biliopancreatic diversion to a tailored lap- aroscopic gastric bypass or sleeve gastrectomy ap- proach. Obes Surg 2012;22:1001-1007.
  4. Haslam DW, James WP. Obesity. Lancet 2005;366:1197- 1209.
  5. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world-growing challenge. N Eng J Med 2007;356:213-215.
  6. Must A, Spadano J, Coakley EH, et al. The dsease burden associated with overweight and obesity. JAMA 1999;282:1523-1529.
  7. Allison DB, Fontaine KR, Manson JE, et al. Annual deaths attributable to obesity in the United States. Jama 1999;282:1530-1538.
  8. Jia H, Lubetkin E. The impact of obesity on health-re- lated quality-of-life in the general adult US population. J Public Health 2005;27:156-164.
  9. Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg 2004;14:1157-1164
  10. Buchwald H, Avidor Y, Braunwald E, et al. Bariat- ric surgery: a systematic review and meta-analysis. JAMA 2004;292:1724-1737.
  11. Kohn GP, Galanko JA, Overby DW, Farrell TM. High case volumes and surgical fellowships are associated with improved outcomes for bariatric surgery patients: A justification of current credentialing initiatives for practice and training. J Am Coll Surg 2010;210:909- 918.
  12. Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery 2007;142:621-632.
  13. Weiner RA, Theodoridou S, Weiner S. Failure of lapa- roscopic sleeve gastrectomy-further procedure. Obes Facts 2011;4:42-46.
  14. Froehling DA, Daniels PR, Mauck KF, et al. İncidence of venous thromboembolism after bariatric sur- gery: A population based cohprt study. Obes Surg 2013;23:1874-189.
  15. Guh DP, Zhang W, Bansback N, et al. The incidence of co-morbidities related to obesity and overweight: A systematic review and meat-analysis. BMC Public Health 2009;9:88.
  16. Goldhaber SZ, Grodstein F, Stampfer MJ, et al. a pro- spective study of risk factors for pulmonary embolism in women. JAMA 1997;26:642-645.
  17. Moszkowicz D, Arienzo R, Khettab I, et al. Sleeve gastrectomy severe complications: is it always a rea- sonable surgical option? Obes surg 2013;23:676-686.
  18. Wang TF, Milligan PE, Wong CA, et al. Efficacy and safety of high dose thromprophylaxis in morbidly obese inpatient. Thromb Haemost 2013;111 [Epub ahead of print].
  19. Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubaiton in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 2005;103:429-437.
  20. Brodsky JB, Lemmens HJM, Brock-Utne JG, et al. Morbid obesity and tracheal intubation. Anesth Analg 2002;94:732-736.
  21. Marrel J, Blanc C, Frascarolo P, Maqnusson L. Video- laryngoscope improves intubation condition in morbid- ly obese patients. Eur J Anaesthesiol 2007;24:1045- 1049.
  22. Hans GA, Preqaldien AA, Kaba A, et al. Pressure con- trolled ventilation does not improve gas exchange in morbidly obese patients undergoing abdominal sur- gery. Obes Surg 2008;18:71-79.
  23. Pelosi P, Gregoretti C. Perioperative management of obese patients. Best Pract Res Clin Anaesthesiol 2010;24:211-225.
  24. Erlandsson K, Odenstedt H, Lundin S, Stenqvist O. Positive en-expiratory pressure optimization using electric impedance tomography in morbidly obese patients during laparoscopic gastric bypass surgery. Acta Anaesthesiol Scand 2006;50:833-889.
  25. Talab HF, Zabani İA, Abdelrahman HS, et al. İntraoperative ventilatory strategies for preventing of pulmonary atelectasis in obese patients under- going laparoscopic bariatric surgery. Anesth Analg 2009;109:1511-1516.
  26. Jung D, Mayersohn M, Perrier D, et al. Thiopental dis- position in lean and obese undergoing surgery. Anes- thesiology 1982;56:269-274.
  27. Servin F, Farinotti R, Haberer JP, Demonts JM. Propo- fol infusion for maintenance of anesthesia in morbidly obese patients receiving nitrous oxide. A clinical and pharmacokinetic study. Anesthesiology 1993;78:657- 665.
  28. Solazzi L, Perilli V, Modesti C, et al. Volatile anesthe- sia in bariatric surgery. Obes Surg 2001;11:623-626.
  29. Torri G, Casati A, Albertin A, et al. randomized com- parison of isoflurane and sevoflurane for laparoscopic gastric banding in morbidly obese patients. J Clin Anesth 2001;13:565-570.
  30. La Colla L, Albertin A, La Colla G, Manqano A. Faster wash-out ad recovery for desflurane vs sevoflurane in morbidly obese patients when no premedication is used. Br J Anaesth 2007;99:353-358.
  31. Govindarajan R, Ghosh B, Sathyamoorty MK, et al. Efficacy of ketorolac in lieu of narcotics in the opera- tive management of laparoscopic surgery for morbid obesity. Surg Obes Relat Dis 2005;1:530-535.
  32. Bellamy CM, Margarson MP. Designing intelligent an- esthesia for a changing patient demographic: a con- sensus statement to provide guidance for specialist and non-specialist anesthetists written by members of and endorsed by the society for obesity and bariatric anesthesia (SOBA). Perioperat Med 2013;2:12.