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Early complications...
Early complications after laparoscopic gastric bypass surgery : results from the Scandinavian Obesity Surgery Registry
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- Stenberg, Erik, 1979- (författare)
- Region Örebro län,Department of Surgery, Lindesberg Hospital, Lindesberg, Sweden; Department of Surgery, Örebro University Hospital, Örebro, Sweden
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- Szabo, Eva, 1973- (författare)
- Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden
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- Ågren, Göran, 1951- (författare)
- Department of Surgery, Örebro University Hospital, Örebro, Sweden
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- Näslund, Erik, 1965- (författare)
- Karolinska Institutet
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- Boman, Lars, 1952- (författare)
- Department of Surgery, Lycksele Hospital, Lycksele, Sweden
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- Bylund, Ami (författare)
- Karolinska Institutet
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- Hedenbro, Jan (författare)
- Lund University,Lunds universitet,Neuroendokrin cellbiologi,Forskargrupper vid Lunds universitet,Neuroendocrine Cell Biology,Lund University Research Groups
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- Laurenius, Anna (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education
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- Lundegårdh, Göran, 1951- (författare)
- Österlenskirurgin, Simrishamn Hospital, Simrishamn, Sweden
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- Lönroth, Hans, 1952 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education
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- Möller, Peter, 1962- (författare)
- Department of Surgery, Kalmar County Hospital, Kalmar, Sweden
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- Sundbom, Magnus (författare)
- Uppsala universitet,Gastrointestinalkirurgi
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- Ottosson, Johan, 1957- (författare)
- Region Örebro län,Department of Surgery, Lindesberg Hospital, Lindesberg, Sweden; Department of Surgery, Örebro University Hospital, Örebro, Sweden
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- Näslund, Ingmar, 1947- (författare)
- Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2014
- 2014
- Engelska.
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Ingår i: Annals of Surgery. - : Lippincott Williams & Wilkins. - 0003-4932 .- 1528-1140. ; 260:6, s. 1040-1047
- Relaterad länk:
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http://www.ncbi.nlm....
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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https://urn.kb.se/re...
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https://gup.ub.gu.se...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- OBJECTIVE: To identify risk factors for serious and specific early complications of laparoscopic gastric bypass surgery using a large national cohort of patients.BACKGROUND: Bariatric procedures are among the most common surgical procedures today. There is, however, still a need to identify preoperative and intraoperative risk factors for serious complications.METHODS: From the Scandinavian Obesity Surgery Registry database, we identified 26,173 patients undergoing primary laparoscopic gastric bypass operation for morbid obesity between May 1, 2007, and September 30, 2012. Follow-up on day 30 was 95.7%. Preoperative data and data from the operation were analyzed against serious postoperative complications and specific complications.RESULTS: The overall risk of serious postoperative complications was 3.4%. Age (adjusted P = 0.028), other additional operation [odds ratio (OR) = 1.50; confidence interval (CI): 1.04-2.18], intraoperative adverse event (OR = 2.63; 1.89-3.66), and conversion to open surgery (OR = 4.12; CI: 2.47-6.89) were all risk factors for serious postoperative complications. Annual hospital volume affected the rate of serious postoperative complications. If the hospital was in a learning curve at the time of the operation, the risk for serious postoperative complications was higher (OR = 1.45; CI: 1.22-1.71). The 90-day mortality rate was 0.04%.CONCLUSIONS: Intraoperative adverse events and conversion to open surgery are the strongest risk factors for serious complications after laparoscopic gastric bypass surgery. Annual operative volume and total institutional experience are important for the outcome. Patient related factors, in particular age, also increased the risk but to a lesser extent.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Nyckelord
- bariatric surgery; laparoscopic gastric bypass; postoperative complications; risk factors
- Surgery
- Kirurgi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Stenberg, Erik, ...
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Szabo, Eva, 1973 ...
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Ågren, Göran, 19 ...
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Näslund, Erik, 1 ...
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Boman, Lars, 195 ...
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Bylund, Ami
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visa fler...
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Hedenbro, Jan
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Laurenius, Anna
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Lundegårdh, Göra ...
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Lönroth, Hans, 1 ...
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Möller, Peter, 1 ...
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Sundbom, Magnus
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Ottosson, Johan, ...
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Näslund, Ingmar, ...
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Gastroenterologi
- Artiklar i publikationen
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Annals of Surger ...
- Av lärosätet
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Örebro universitet
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Lunds universitet
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Uppsala universitet
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Göteborgs universitet
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Karolinska Institutet