Identifying Patients at High Risk of Having Pulmonary Dysfunction Before Laparoscopic Bariatric Surgery and Its Impact on Postoperative Pulmonary Complications
Morbid obesity is associated with variable degrees of pulmonary dysfunction that may predispose to postoperative complications. This study aimed to identify high risk patients to have pulmonary dysfunction before bariatric surgery in terms of age, sex, and body mass index (BMI) and the impact of pul...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2019-11, Vol.29 (11), p.1456-1461 |
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| container_issue | 11 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
| container_volume | 29 |
| creator | Emile, Sameh Hany Elgamal, Mohamed Elshobaky, Ayman Shalaby, Mostafa Fadaly, Ahmed AbdelMawla, Ahmed Elbanna, Hosam Ghazy Abdel-Razik, Mohamed Anwar |
| description | Morbid obesity is associated with variable degrees of pulmonary dysfunction that may predispose to postoperative complications. This study aimed to identify high risk patients to have pulmonary dysfunction before bariatric surgery in terms of age, sex, and body mass index (BMI) and the impact of pulmonary dysfunction on postoperative pulmonary complications.
Prospective database of patients with morbid obesity who underwent bariatric surgery was reviewed. Data on patients' demographics, parameters of pulmonary function tests, and postoperative pulmonary complications were collected. The correlation between patients' age, sex and BMI, and pulmonary function was investigated using Pearson's correlation coefficient test.
Ninety-seven patients (82 female) with morbid obesity were included in the study. Twenty-eight (28.9%) patients had pulmonary dysfunction. Patients >40 years had higher odds of pulmonary dysfunction than patients ≤40 years (odds ratio [OR]: 2.54,
= .05). Male patients had significantly higher odds of pulmonary dysfunction than female patients (OR: 2.5,
= .03). Patients with BMI >50 had significantly higher odds of pulmonary dysfunction than patients with BMI |
| doi_str_mv | 10.1089/lap.2019.0459 |
| format | Article |
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Prospective database of patients with morbid obesity who underwent bariatric surgery was reviewed. Data on patients' demographics, parameters of pulmonary function tests, and postoperative pulmonary complications were collected. The correlation between patients' age, sex and BMI, and pulmonary function was investigated using Pearson's correlation coefficient test.
Ninety-seven patients (82 female) with morbid obesity were included in the study. Twenty-eight (28.9%) patients had pulmonary dysfunction. Patients >40 years had higher odds of pulmonary dysfunction than patients ≤40 years (odds ratio [OR]: 2.54,
= .05). Male patients had significantly higher odds of pulmonary dysfunction than female patients (OR: 2.5,
= .03). Patients with BMI >50 had significantly higher odds of pulmonary dysfunction than patients with BMI <50 (OR: 4.9,
= .002). Patients with pulmonary dysfunction had significantly higher odds of developing pulmonary complications than patients with normal spirometry (OR: 9.13,
= .009).
Around 30% of patients undergoing bariatric surgery had pulmonary dysfunction. Pulmonary dysfunction in preoperative spirometry was able to predict postoperative pulmonary complications. Men, patients older than 40 years, and superobese individuals had higher odds of having pulmonary dysfunction and are at higher risk to develop pulmonary complications after bariatric surgery.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2019.0459</identifier><identifier>PMID: 31536447</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Age Factors ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Body Mass Index ; Female ; Humans ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Lung - physiopathology ; Male ; Middle Aged ; Obesity, Morbid - physiopathology ; Obesity, Morbid - surgery ; Postoperative Complications - etiology ; Postoperative Period ; Respiratory Function Tests ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Sex Factors ; Young Adult</subject><ispartof>Journal of laparoendoscopic & advanced surgical techniques. Part A, 2019-11, Vol.29 (11), p.1456-1461</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-32f890cb03fb15632c5f1a446d4a260d05720765e0aeb057c988155bbdc6afa33</citedby><cites>FETCH-LOGICAL-c293t-32f890cb03fb15632c5f1a446d4a260d05720765e0aeb057c988155bbdc6afa33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31536447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Elgamal, Mohamed</creatorcontrib><creatorcontrib>Elshobaky, Ayman</creatorcontrib><creatorcontrib>Shalaby, Mostafa</creatorcontrib><creatorcontrib>Fadaly, Ahmed</creatorcontrib><creatorcontrib>AbdelMawla, Ahmed</creatorcontrib><creatorcontrib>Elbanna, Hosam Ghazy</creatorcontrib><creatorcontrib>Abdel-Razik, Mohamed Anwar</creatorcontrib><title>Identifying Patients at High Risk of Having Pulmonary Dysfunction Before Laparoscopic Bariatric Surgery and Its Impact on Postoperative Pulmonary Complications</title><title>Journal of laparoendoscopic & advanced surgical techniques. Part A</title><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><description>Morbid obesity is associated with variable degrees of pulmonary dysfunction that may predispose to postoperative complications. This study aimed to identify high risk patients to have pulmonary dysfunction before bariatric surgery in terms of age, sex, and body mass index (BMI) and the impact of pulmonary dysfunction on postoperative pulmonary complications.
Prospective database of patients with morbid obesity who underwent bariatric surgery was reviewed. Data on patients' demographics, parameters of pulmonary function tests, and postoperative pulmonary complications were collected. The correlation between patients' age, sex and BMI, and pulmonary function was investigated using Pearson's correlation coefficient test.
Ninety-seven patients (82 female) with morbid obesity were included in the study. Twenty-eight (28.9%) patients had pulmonary dysfunction. Patients >40 years had higher odds of pulmonary dysfunction than patients ≤40 years (odds ratio [OR]: 2.54,
= .05). Male patients had significantly higher odds of pulmonary dysfunction than female patients (OR: 2.5,
= .03). Patients with BMI >50 had significantly higher odds of pulmonary dysfunction than patients with BMI <50 (OR: 4.9,
= .002). Patients with pulmonary dysfunction had significantly higher odds of developing pulmonary complications than patients with normal spirometry (OR: 9.13,
= .009).
Around 30% of patients undergoing bariatric surgery had pulmonary dysfunction. Pulmonary dysfunction in preoperative spirometry was able to predict postoperative pulmonary complications. Men, patients older than 40 years, and superobese individuals had higher odds of having pulmonary dysfunction and are at higher risk to develop pulmonary complications after bariatric surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Period</subject><subject>Respiratory Function Tests</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Young Adult</subject><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkU1v2zAMhoVhw5KlO_Za6LiLM1kfdnRs0nYJEKBB250NWpZStbblSnKB_Jr91SlrOlQXkdDLh6RehM5zMs_JQv5sYZhTkss54UJ-QtNciDKThPHPKSaSZgWncoK-hfBE0pGMf0UTlgtWcF5O0Z9No_tozcH2e7yDaFMWMES8tvtHfGfDM3YGr-H13_vYdq4Hf8BXh2DGXkXrerzUxnmNtzCAd0G5wSq8BG8h-hTdj36vUwX0Dd4k9KYbQEWc6nYuRDdon5q-6g_sleuG1io4wsMZ-mKgDfr76Z6h3zfXD6t1tr39tVldbjNFJYsZo2YhiaoJM3UuCkaVMDlwXjQcaEEaIkpKykJoArpOiZKLRfqpum5UAQYYm6Efb9zBu5dRh1h1NijdttBrN4aKUil4yUhBkjR7k6q0bvDaVIO3XZq8ykl19KRKnlRHT6qjJ0l_cUKPdaeb_-p3E9hfWzuK2A</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Emile, Sameh Hany</creator><creator>Elgamal, Mohamed</creator><creator>Elshobaky, Ayman</creator><creator>Shalaby, Mostafa</creator><creator>Fadaly, Ahmed</creator><creator>AbdelMawla, Ahmed</creator><creator>Elbanna, Hosam Ghazy</creator><creator>Abdel-Razik, Mohamed Anwar</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201911</creationdate><title>Identifying Patients at High Risk of Having Pulmonary Dysfunction Before Laparoscopic Bariatric Surgery and Its Impact on Postoperative Pulmonary Complications</title><author>Emile, Sameh Hany ; Elgamal, Mohamed ; Elshobaky, Ayman ; Shalaby, Mostafa ; Fadaly, Ahmed ; AbdelMawla, Ahmed ; Elbanna, Hosam Ghazy ; Abdel-Razik, Mohamed Anwar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-32f890cb03fb15632c5f1a446d4a260d05720765e0aeb057c988155bbdc6afa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - physiopathology</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Period</topic><topic>Respiratory Function Tests</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Elgamal, Mohamed</creatorcontrib><creatorcontrib>Elshobaky, Ayman</creatorcontrib><creatorcontrib>Shalaby, Mostafa</creatorcontrib><creatorcontrib>Fadaly, Ahmed</creatorcontrib><creatorcontrib>AbdelMawla, Ahmed</creatorcontrib><creatorcontrib>Elbanna, Hosam Ghazy</creatorcontrib><creatorcontrib>Abdel-Razik, Mohamed Anwar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emile, Sameh Hany</au><au>Elgamal, Mohamed</au><au>Elshobaky, Ayman</au><au>Shalaby, Mostafa</au><au>Fadaly, Ahmed</au><au>AbdelMawla, Ahmed</au><au>Elbanna, Hosam Ghazy</au><au>Abdel-Razik, Mohamed Anwar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identifying Patients at High Risk of Having Pulmonary Dysfunction Before Laparoscopic Bariatric Surgery and Its Impact on Postoperative Pulmonary Complications</atitle><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><date>2019-11</date><risdate>2019</risdate><volume>29</volume><issue>11</issue><spage>1456</spage><epage>1461</epage><pages>1456-1461</pages><issn>1092-6429</issn><eissn>1557-9034</eissn><abstract>Morbid obesity is associated with variable degrees of pulmonary dysfunction that may predispose to postoperative complications. This study aimed to identify high risk patients to have pulmonary dysfunction before bariatric surgery in terms of age, sex, and body mass index (BMI) and the impact of pulmonary dysfunction on postoperative pulmonary complications.
Prospective database of patients with morbid obesity who underwent bariatric surgery was reviewed. Data on patients' demographics, parameters of pulmonary function tests, and postoperative pulmonary complications were collected. The correlation between patients' age, sex and BMI, and pulmonary function was investigated using Pearson's correlation coefficient test.
Ninety-seven patients (82 female) with morbid obesity were included in the study. Twenty-eight (28.9%) patients had pulmonary dysfunction. Patients >40 years had higher odds of pulmonary dysfunction than patients ≤40 years (odds ratio [OR]: 2.54,
= .05). Male patients had significantly higher odds of pulmonary dysfunction than female patients (OR: 2.5,
= .03). Patients with BMI >50 had significantly higher odds of pulmonary dysfunction than patients with BMI <50 (OR: 4.9,
= .002). Patients with pulmonary dysfunction had significantly higher odds of developing pulmonary complications than patients with normal spirometry (OR: 9.13,
= .009).
Around 30% of patients undergoing bariatric surgery had pulmonary dysfunction. Pulmonary dysfunction in preoperative spirometry was able to predict postoperative pulmonary complications. Men, patients older than 40 years, and superobese individuals had higher odds of having pulmonary dysfunction and are at higher risk to develop pulmonary complications after bariatric surgery.</abstract><cop>United States</cop><pmid>31536447</pmid><doi>10.1089/lap.2019.0459</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Age Factors Bariatric Surgery - adverse effects Bariatric Surgery - methods Body Mass Index Female Humans Laparoscopy - adverse effects Laparoscopy - methods Lung - physiopathology Male Middle Aged Obesity, Morbid - physiopathology Obesity, Morbid - surgery Postoperative Complications - etiology Postoperative Period Respiratory Function Tests Retrospective Studies Risk Assessment Risk Factors Sex Factors Young Adult |
| title | Identifying Patients at High Risk of Having Pulmonary Dysfunction Before Laparoscopic Bariatric Surgery and Its Impact on Postoperative Pulmonary Complications |
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