Related Experiment Video
Updated: Dec 18, 2025
05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
7.2K
Smoking in bariatric surgery: a systematic review
Alexandra Chow1,2, Amy Neville3, Nicole Kolozsvari3
1Department of Surgery, University of Ottawa, Ottawa, ON, Canada. aschow1@ualberta.ca.
Surgical Endoscopy
|June 12, 2020
Summary
Smoking before bariatric surgery increases risks of death and complications. Quitting smoking does not significantly impact weight loss, and many patients resume smoking post-surgery, highlighting a need for better cessation support.
Area of Science:
- Bariatric Surgery
- Morbidity and Mortality
- Smoking Cessation
Background:
- High prevalence of smoking (up to 40%) in bariatric surgery patients.
- Limited data on smoking's perioperative impact in bariatric surgery.
- Need to assess smoking's effects on outcomes and cessation efficacy.
Purpose of the Study:
- Evaluate smoking's impact on postoperative morbidity and mortality.
- Examine the relationship between smoking and weight loss.
- Assess smoking cessation efficacy in perioperative bariatric patients.
Main Methods:
- Comprehensive literature search (MEDLINE, EMBASE, Cochrane Library) from 1946-2020.
- Screened 940 titles/abstracts, reviewed 540 full articles.
- Analyzed 48 studies (interviews, longitudinal, retrospective, prospective).
Main Results:
- Smoking within 1 year pre-surgery is an independent risk factor for 30-day mortality and major complications (wound, pulmonary).
- Associated with long-term issues like marginal ulceration and bone fracture.
- Minimal effect on weight loss; high smoking recidivism (up to 17%).
Conclusions:
- Smoking within 1 year of bariatric surgery significantly increases postoperative morbidity.
- Current 6-week cessation guideline may be insufficient.
- Further research needed on perioperative smoking cessation strategies.
Related Concept Videos
01:26Stress Prevention and Stress Management Techniques IV
176
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
176
01:21Inflammatory Bowel Disease V: Surgical Management
349
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
349
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
394
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
394