Bariatric Surgery, Complication of Surgical Procedure, Obesity, Morbid
Conditions
Brief summary
Retrospective study with patients submitted to bariatric surgery between 2013 and 2016 at a single Institution. The objective was to analyze the incidence and causes of unexpected intraoperative findings and complications, change in surgical plan, extra surgeries and procedure interruption. All operative information was collected prospectively and aimed to describe any of the previous situations. Secondarily, a morbidity analysis was performed, correlating intraoperative complications with postoperative complications and length of stay.
Interventions
The gastric bypass (simplified technique) was performed in an antecolic fashion, with a calibrated 2 cm gastro-jejunal anastomosis (linear stapler); biliary and alimentary limbs measured 70 and 150 cm respectively \[17\] . Mesenteric defects were closed and the omentum divided. The sleeve gastrectomy was performed at 5-6 cm from the pylorus over a 36 Fr. bougie, with oversuture of the staple line (2-0 polypropylene). Methylene blue test and the use of drains were done routinely.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient submitted to bariatric surgery * All patients met the guidelines defined by the National Institutes of Health (NIH) consensus: BMI equal or greater to 40kg/m2 or BMI 35 - 40 kg/m2 with some comorbidity
Exclusion criteria
* Patients with incomplete surgery data sheet and those subject to another type of bariatric surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative Complications | During surgical time | yes/no |
| Intraoperative unexpected findings, change in surgical technique, surgery interruption | During surgical time | yes/no |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 0-30 days | (yes/no) (minor/major) |
| Length of Hospital Stay | 0-30 days | Days |
Countries
Mexico