Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience

Overview

Journal J Obes

Publisher Wiley

Specialty Endocrinology

Date 2018 Mar 30

PMID 29593899

Citations 13

Authors

Yusef Moulla

Orestis Lyros

Matthias Bluher

Philipp Simon

Arne Dietrich

Affiliations

Soon will be listed here.

Abstract

Introduction: Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons.

Methods: We retrospectively analyzed high-risk patients, who underwent bariatric surgery in University Hospital Leipzig between May 2012 and December 2016. High-risk patients were defined when (Bergeat et al., 2016) at least one of the following risk factors was met: age ≥ 70 years, body mass index (BMI) > 70 kg/m, liver cirrhosis, end-organ failure, or immunosuppression by status after organ transplantation along with (Birkmeyer et al., 2010) at least two comorbidities associated with obesity. Our analysis included early postoperative complications.

Results: A total of 25 high-risk obese patients were identified. All patients had a standardized postoperative management with a mean length of hospital stay of 4 ± 1.4 days. One patient required an operative revision due to a stapler line leak after sleeve gastrectomy. No other major postoperative complications occurred.

Conclusion: Bariatric surgery for severe high-risk patients can be performed safely in high-volume centers following standardized procedures.

Citing Articles

Laparoscopic Gastric Sleeve in a Complex Elderly Patient: A Case Report.

Rodriguez-Lopez C, Martinez Castro S, Vera Macias J, Escobosa-Rocha E, Munoz Leija M Cureus. 2025; 16(12):e75690.

PMID: 39807456 PMC: 11726394. DOI: 10.7759/cureus.75690.

Barriers to Adolescents' Adherence to Medical Advice after Metabolic Bariatric Surgery: A Statistical Analysis.

Shellac E, Lev-Wiesel R, Shachar-Lavie I, Hadas A, Sela A, Halifa-Kurzman I J Clin Med. 2024; 13(6).

PMID: 38541985 PMC: 10970738. DOI: 10.3390/jcm13061762.

The Outcomes of Laparoscopic Sleeve Gastrectomy for the Treatment of Obesity: A Single-Center Experience.

Khushaim L, Alhazmi A, Omayer I, Alqahtani M, Alsalama A, Alsulami A Cureus. 2023; 15(11):e48662.

PMID: 38090469 PMC: 10711325. DOI: 10.7759/cureus.48662.

Barrett`s Esophagus in Bariatric Surgery: Regression or Progression?.

Moulla Y, Hamadeh H, Seidemann L, Mehdorn M, Bluher M, Feisthammel J Obes Surg. 2023; 33(11):3391-3401.

PMID: 37776419 DOI: 10.1007/s11695-023-06829-3.

Meta-analysis of patient risk factors associated with post-bariatric surgery leak.

Spiro C, Bennet S, Bhatia K Obes Sci Pract. 2023; 9(2):112-126.

PMID: 37034561 PMC: 10073826. DOI: 10.1002/osp4.628.

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