Laparoscopic Sleeve Gastrectomy: A Single Egyptian Center Experience with Anesthetic and Surgical Complications

Hasanin, Ahmed and Hussein, Kareem and Amin, Shereen and Obayah, Gihan and Mokhtar, Ali and Abdelraouf, Sabah (2016) Laparoscopic Sleeve Gastrectomy: A Single Egyptian Center Experience with Anesthetic and Surgical Complications. British Journal of Medicine and Medical Research, 16 (12). pp. 1-7. ISSN 22310614

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Abstract

Introduction: Laparoscopic sleeve gastrectomy (LSG) as bariatric operation is gaining popularity nowadays. Many studies reported patient surgical outcome after LSG, however little is known about perioperative anesthesia-related complications. In this study we are reporting our experience in an university hospital with perioperative complications and adverse events in morbidly obese patients undergoing LSG.

Methods: A prospective cohort study was conducted in Cairo university hospitals. All patients scheduled for LSG during a period of seven months were included. Anesthesia-related complications were reported as well as surgical outcomes. Major anesthesia complications were defined as: intraoperative or postoperative cardiac arrest, failed intubation, postoperative ventilation, and postoperative inotropic support. Possible risk factors for developing perioperative complications were also analyzed using univariate and multivariate analysis.

Results: One hundred and fifty patients were included. Mean age was 33±6 years and mean Body mass index (BMI) was 48±6. No major anesthesia related complications were reported. We reported three cases (2%) of surgical anastomotic leakage and four cases (2.6%) of difficult intubation. Regarding minor complications, the most common were intraoperative and postoperative tachycardia (75%), increased plateau airway pressure (75%), and postoperative nausea and vomiting (60%). By multivariate analysis; independent risk factors for respiratory complications are BMI above 50 and STOP-BANG questionnaire score.

Conclusion: LSG is done in our center with a low rate of major anesthesia-related complications. Difficult intubation is not common in morbid obese patients. Risk factors for pulmonary complications in this population were BMI above 50 and STOP-BANG questionnaire.

Item Type: Article
Subjects: STM Repository > Medical Science
Depositing User: Managing Editor
Date Deposited: 18 May 2023 04:40
Last Modified: 07 Jun 2024 09:45
URI: http://classical.goforpromo.com/id/eprint/3288

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