Aortic injuries during laparoscopic gastric bypass for morbid obesity in Sweden 2009-2010: A nationwide survey

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Fältnamn	Indikatorer	Metadata
000		03372naa a2200409 4500
001		oai:DiVA.org:oru-56765
003		SwePub
008		170323s2014 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:uu-216392
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-567652 URI
024	7	a https://doi.org/10.1016/j.soard.2013.06.0192 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2163922 URI
040		a (SwePub)orud (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Sundbom, Magnusu Uppsala universitet,Gastrointestinalkirurgi4 aut0 (Swepub:uu)magsundb
245	1 0	a Aortic injuries during laparoscopic gastric bypass for morbid obesity in Sweden 2009-2010 :b A nationwide survey
264	1	b Elsevier,c 2014
338		a print2 rdacarrier
520		a Background: In Sweden, bariatric surgery has increased more than tenfold in the past decade, from 700 to 8,600 procedures annually, and laparoscopic gastric bypass (LRYGB) dominates (92% of all procedures). This expansion makes safety issues crucial. The aim of this nationwide survey was to identify aortic injuries in LRYGB. Methods: All 41 centers performing LRYGB in Sweden were asked if an aortic injury had occurred during the years 2009-2010. Techniques for entering the first trocar and way of establishing pneumoperitoneum were evaluated. The total number of procedures was collected from the national quality registry, Scandinavian Obesity Surgery Registry (SOReg), and the National Patient Register. Results: During the study period, 11,744 LRYGBs were performed. The analysis revealed 5 aortic injuries, all occurring in patients in whom an optical trocar had been placed before establishing pneumoperitoneum. Outcomes varied from no major sequelae to bilateral lower limb amputation and death. Based on the total number of LRYGBs, the risk for an aortic injury was .043% overall and .091% when an optical trocar was used. Conclusion: Aortic injury is a rare but serious complication in laparoscopic gastric bypass. In this survey, optical trocars constructed to reduce the risk of intraabdominal damage had been used in all 5 cases. (C) 2014 American Society for Metabolic and Bariatric Surgery. All rights reserved.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653		a Gastric bypass
653		a Aortic injury
653		a Optical trocar
653		a Trocar injury
653		a Laparoscopy
700	1	a Hedberg, Jakobu Uppsala universitet,Gastrointestinalkirurgi4 aut0 (Swepub:uu)jakhe890
700	1	a Wanhainen, Andersu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)anwan103
700	1	a Ottosson, Johanu Region Örebro län,Dept Surg, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)OUH-jo1ot
710	2	a Uppsala universitetb Gastrointestinalkirurgi4 org
773	0	t Surgery for Obesity and Related Diseasesd : Elsevierg 10:2, s. 203-207q 10:2<203-207x 1550-7289x 1878-7533
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-56765
856	4 8	u https://doi.org/10.1016/j.soard.2013.06.019
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-216392

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Av författaren/redakt...: Sundbom, Magnus; Hedberg, Jakob; Wanhainen, Ander ...; Ottosson, Johan

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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Av lärosätet: Örebro universitet; Uppsala universitet

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