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  • Stenberg, Erik,1979-Region Örebro län,Department of Surgery, Lindesberg Hospital, Lindesberg, Sweden; Department of Surgery, Örebro University Hospital, Örebro, Sweden (author)

Early complications after laparoscopic gastric bypass surgery : results from the Scandinavian Obesity Surgery Registry

  • Article/chapterEnglish2014

Publisher, publication year, extent ...

  • Lippincott Williams & Wilkins,2014
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-40584
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-40584URI
  • https://doi.org/10.1097/SLA.0000000000000431DOI
  • https://lup.lub.lu.se/record/4292399URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-216389URI
  • https://gup.ub.gu.se/publication/193678URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:130130202URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Szabo, Eva,1973-Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden(Swepub:oru)eso (author)
  • Ågren, Göran,1951-Department of Surgery, Örebro University Hospital, Örebro, Sweden (author)
  • Näslund, Erik,1965-Karolinska Institutet (author)
  • Boman, Lars,1952-Department of Surgery, Lycksele Hospital, Lycksele, Sweden (author)
  • Bylund, AmiKarolinska Institutet (author)
  • Hedenbro, JanLund University,Lunds universitet,Neuroendokrin cellbiologi,Forskargrupper vid Lunds universitet,Neuroendocrine Cell Biology,Lund University Research Groups(Swepub:lu)kir-jhe (author)
  • Laurenius, AnnaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education(Swepub:gu)xlauan (author)
  • Lundegårdh, Göran,1951-Österlenskirurgin, Simrishamn Hospital, Simrishamn, Sweden (author)
  • Lönroth, Hans,1952Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education(Swepub:gu)xlonha (author)
  • Möller, Peter,1962-Department of Surgery, Kalmar County Hospital, Kalmar, Sweden (author)
  • Sundbom, MagnusUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)magsundb (author)
  • Ottosson, Johan,1957-Region Örebro län,Department of Surgery, Lindesberg Hospital, Lindesberg, Sweden; Department of Surgery, Örebro University Hospital, Örebro, Sweden(Swepub:oru)OUH-jo1ot (author)
  • Näslund, Ingmar,1947-Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden(Swepub:oru)OUH-in1na (author)
  • Region Örebro länDepartment of Surgery, Lindesberg Hospital, Lindesberg, Sweden; Department of Surgery, Örebro University Hospital, Örebro, Sweden (creator_code:org_t)

Related titles

  • In:Annals of Surgery: Lippincott Williams & Wilkins260:6, s. 1040-10470003-49321528-1140

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