Skip header and navigation

3 records – page 1 of 1.

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

https://arctichealth.org/en/permalink/ahliterature259733
Source
Ann Surg. 2014 Dec;260(6):1040-7
Publication Type
Article
Date
Dec-2014
Author
Erik Stenberg
Eva Szabo
Göran Agren
Erik Näslund
Lars Boman
Ami Bylund
Jan Hedenbro
Anna Laurenius
Göran Lundegårdh
Hans Lönroth
Peter Möller
Magnus Sundbom
Johan Ottosson
Ingmar Näslund
Source
Ann Surg. 2014 Dec;260(6):1040-7
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Adult
Female
Follow-Up Studies
Gastric Bypass - adverse effects - methods
Humans
Laparoscopy
Male
Obesity, Morbid - surgery
Postoperative Complications - epidemiology
Registries
Sweden - epidemiology
Time Factors
Abstract
To identify risk factors for serious and specific early complications of laparoscopic gastric bypass surgery using a large national cohort of patients.
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.
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.
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%.
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.
PubMed ID
24374541 View in PubMed
Less detail

[National plan for obesity surgery already on the agenda].

https://arctichealth.org/en/permalink/ahliterature144135
Source
Lakartidningen. 2010 Mar 10-16;107(10):692-3; discussion 693
Publication Type
Article
Author
Jan Hedenbro
Lars Sjöstrom
Ingmar Näslund
Author Affiliation
Jan.Hedenbro@med.lu.se
Source
Lakartidningen. 2010 Mar 10-16;107(10):692-3; discussion 693
Language
Swedish
Publication Type
Article
Keywords
Bariatric Surgery
Humans
Obesity, Morbid - surgery
Regional Medical Programs
Sweden
Notes
Comment On: Lakartidningen. 2010 Jan 13-19;107(1-2):8-920184265
PubMed ID
20402255 View in PubMed
Less detail

Substantial Decrease in Comorbidity 5 Years After Gastric Bypass: A Population-based Study From the Scandinavian Obesity Surgery Registry.

https://arctichealth.org/en/permalink/ahliterature284189
Source
Ann Surg. 2017 Jun;265(6):1166-1171
Publication Type
Article
Date
Jun-2017
Author
Magnus Sundbom
Jakob Hedberg
Richard Marsk
Lars Boman
Ami Bylund
Jan Hedenbro
Anna Laurenius
Göran Lundegårdh
Peter Möller
Torsten Olbers
Johan Ottosson
Ingmar Näslund
Erik Näslund
Source
Ann Surg. 2017 Jun;265(6):1166-1171
Date
Jun-2017
Language
English
Publication Type
Article
Keywords
Adult
Antidepressive Agents - therapeutic use
Body mass index
Comorbidity
Depression - drug therapy - epidemiology
Diabetes Mellitus, Type 2 - epidemiology
Dyslipidemias - epidemiology
Female
Gastric Bypass
Humans
Hypertension - epidemiology
Male
Obesity, Morbid - epidemiology - surgery
Prevalence
Registries
Sleep Apnea Syndromes - epidemiology
Sweden - epidemiology
Weight Loss
Abstract
To evaluate effect on comorbid disease and weight loss 5 years after Roux-en-Y gastric bypass (RYGB) surgery for morbid obesity in a large nationwide cohort.
The number patients having surgical procedures to treat obesity and obesity-related disease are increasing. Yet, population-based, long-term outcome studies are few.
Data on 26,119 individuals [75.8% women, 41.0 years, and body mass index (BMI) 42.8?kg/m] undergoing primary RYGB between May 1, 2007 and June 30, 2012, were collected from 2 Swedish quality registries: Scandinavian Obesity Surgery Registry and the Prescribed Drug Registry. Weight, remission of type 2 diabetes mellitus, hypertension, dyslipidemia, depression, and sleep apnea, and changes in corresponding laboratory data were studied. Five-year follow-up was 100% (9774 eligible individuals) for comorbid diseases.
BMI decreased from 42.8?±?5.5 to 31.2?±?5.5?kg/m at 5 years, corresponding to 27.7% reduction in total body weight. Prevalence of type 2 diabetes mellitus (15.5%-5.9%), hypertension (29.7%-19.5%), dyslipidemia (14.0%-6.8%), and sleep apnea (9.6%-2.6%) was reduced. Greater weight loss was a positive prognostic factor, whereas increasing age or BMI at baseline was a negative prognostic factor for remission. The use of antidepressants increased (24.1%-27.5%). Laboratory status was improved, for example, fasting glucose and glycated hemoglobin decreased from 6.1 to 5.4?mmol/mol and 41.8% to 37.7%, respectively.
In this nationwide study, gastric bypass resulted in large improvements in obesity-related comorbid disease and sustained weight loss over a 5-year period. The increased use of antidepressants warrants further investigation.
PubMed ID
27429019 View in PubMed
Less detail