Journal of Clinical Medicine

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Dr. Giovanna Pavone

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Guest Editor

Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy
Interests: laparoscopic surgery; abdominal surgery; surgical anatomy

Dr. Nicola Tartaglia

E-Mail Website
Guest Editor

Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy
Interests: minimally invasive surgery; abdominal surgery; laparoscopic surgery; general surgery; colorectal surgery; gastrointestinal surgery; surgical oncology

Special Issue Information

Dear Colleagues,

Obesity is classified as one of the most severe global public health problems. Over 2.1 billion adults worldwide are considered overweight or obese; 640 millions of these are classified as obese. Bariatric surgery has proven to be an effective treatment strategy in treating obesity and improving associated comorbidities. At present, the most commonly conducted bariatric surgical procedures are Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG) and mini-gastric bypass (MGB).

Consensual indications for bariatric surgery are BMI ≥ 40 kg/m², BMI ≥ 35 kg/m² with T2D or other comorbidities that could be significantly improved after bariatric surgery.

Bleeding, leakage and gastric fistulae are the most common intraoperative complications and post-operative complications following bariatric procedures.

Literature reports a wide range of post-bariatric surgery complications, with a frequency ranging from 1% to 29%. Most common post-operative complications reported include leakage, haemorrhage, fistula, surgical site infection, abscess, gastric dilatation, stricture, wound complication and nutritional deficiencies.

The aim of this Special Issue is to compare the techniques most used in bariatric surgery, to observe how the complication and morbidity rate for each procedure changes.

Dr. Giovanna Pavone
Dr. Nicola Tartaglia
Guest Editors

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Keywords

sleeve gastrectomy
mini-gastric bypass
Roux-en-Y gastric bypass
obesity
bariatric surgery
complications after bariatric surgery

Published Papers (1 paper)

Research

10 pages, 975 KiB

Open AccessArticle

Diabetes Is Associated with Worse Postoperative Mortality and Morbidity in Bariatric Surgery, Regardless of the Procedure

by Omar Khalil, Soha Dargham, Amin Jayyousi, Jassim Al Suwaidi and Charbel Abi Khalil

J. Clin. Med. 2024, 13(11), 3174; https://doi.org/10.3390/jcm13113174 - 28 May 2024

Viewed by 289

Abstract

Background/Objectives: Bariatric surgery is a central cornerstone in obesity treatment. We aimed to assess the impact of diabetes on the postoperative outcomes of bariatric surgery and compare three techniques: sleeve gastrectomy, Roux-en-Y, and gastric banding. Methods: We extracted data from the National Inpatient Sample (2015–2019) using ICD codes. The primary outcome was postoperative mortality. Secondary outcomes were major bleeding, atrial fibrillation, and acute renal failure. Results: Among patients who underwent sleeve gastrectomy, diabetes was associated with a higher adjusted risk of mortality (aOR 2.07 [1.36–3.16]), atrial fibrillation, and acute renal failure, but a similar risk of bleeding. Among patients who underwent Roux-en-Y, diabetes did not increase mortality and bleeding risk. Still, it was associated with a higher risk of atrial fibrillation and acute renal failure. Among patients who underwent gastric banding, diabetes was only associated with a higher risk of bleeding. When comparing the three techniques in diabetes patients, Roux-en-Y was significantly associated with higher mortality and acute renal failure risk when compared to the other procedures. Bleeding was more common in Roux-en-Y than in Sleeve. Conclusions: In total, diabetes is associated with worse postoperative outcomes in bariatric surgery, regardless of the technique. Among diabetes patients, Roux-en-Y was associated with the highest mortality and morbidity. Full article

(This article belongs to the Special Issue Obesity Surgery: Focus on Sleeve Gastrectomy, Mini-Gastric Bypass, and Gastric Bypass Surgeries)

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Obesity Surgery: Focus on Sleeve Gastrectomy, Mini-Gastric Bypass, and Gastric Bypass Surgeries

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