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Risk Factors for Early and Late Complications after Laparoscopic Sleeve Gastrectomy in One-Year Observation
Paulina Głuszyńska1, Inna Diemieszczyk1, Łukasz Szczerbiński2
11st Department of General and Endocrine Surgery, Medical University of Bialystok, 15-089 Bialystok, Poland.
Journal of Clinical Medicine
|January 21, 2022
Summary
Smoking and hypercholesterolemia are key risk factors for complications after laparoscopic sleeve gastrectomy (LSG). Identifying these factors aids in preoperative planning and optimizing patient outcomes for this bariatric procedure.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Complications
Background:
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure for obesity treatment.
- Despite its safety profile, LSG carries risks of postoperative complications.
- Understanding risk factors is crucial for proactive patient management and improved outcomes.
Purpose of the Study:
- To identify and evaluate independent risk factors for early and late complications following LSG.
- To inform preoperative planning and postoperative care strategies.
- To enhance early diagnosis and treatment of potential complications.
Main Methods:
- Retrospective analysis of medical data from 610 patients who underwent LSG.
- Complications were classified as early (<30 days) or late (≥30 days).
- Evaluation of complications utilized the Clavien-Dindo Classification system.
Main Results:
- Early complications occurred in 5.74% of patients; late complications in 1.64%.
- Independent risk factors for early complications included hypercholesterolemia (OR 3.73) and smoking (OR 274.66).
- Smoking, peptic ulcer disease, and hiatal hernia predicted late complications.
Conclusions:
- Smoking significantly increases the risk of both early and late complications after LSG.
- Hypercholesterolemia is an independent risk factor specifically for early complications (<30 days).
- These findings highlight the importance of addressing smoking and hypercholesterolemia in LSG candidates.
