Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

22
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
22
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

29
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
29
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

179
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...
179

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Genomic landscape of Mexican patients with maturity onset diabetes of the young: beyond mutations in MODY-known genes.

Frontiers in endocrinology·2026
Same author

Role of Tumor Volume and Prolactin Ratios in Differentiating Prolactinomas and Predicting Response to Cabergoline.

Archives of medical research·2026
Same author

Unconventional Uses of Human Growth Hormone.

Archives of medical research·2026
Same author

Single-cell epigenetic landscape, microenvironment interactions, and gene regulatory modules of non-functioning pituitary adenomas.

Cell systems·2026
Same author

Consensus on acromegaly therapeutic outcomes: an update.

Nature reviews. Endocrinology·2025
Same author

Spatial transcriptomics reveal PI3K-AKT and metabolic alterations in aggressive, treatment-resistant lactotroph pituitary neuroendocrine tumors.

Acta neuropathologica communications·2025

Related Experiment Video

Updated: Sep 16, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.5K

Predicting Postoperative Leaks: A Preoperative Risk Index for Bariatric Surgery.

Ariel Shuchleib1,2, Daniel Swartz3, Juan Talavea Piña4

  • 1Universidad Anáhuac, Huixquilucan, Mexico. dr.shuchleib@gmail.com.

Obesity Surgery
|July 10, 2025
PubMed
Summary

Anastomotic leaks are a feared complication of bariatric surgery. A new risk index identifies key factors like low albumin and smoking, helping to predict leak risk more accurately.

Keywords:
Gastric bypassGastric sleeveIndexLeakRisk factors

More Related Videos

Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
03:05

Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors

Published on: February 16, 2024

1.2K
Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

73

Related Experiment Videos

Last Updated: Sep 16, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.5K
Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
03:05

Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors

Published on: February 16, 2024

1.2K
Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

73

Area of Science:

  • Bariatric Surgery Outcomes
  • Surgical Complications Research
  • Patient Risk Stratification

Background:

  • Anastomotic leaks are a significant and feared complication following bariatric surgeries such as sleeve gastrectomy (SG) and gastric bypass (RYGB).
  • These leaks increase patient morbidity and mortality, necessitating better risk assessment and management strategies.

Purpose of the Study:

  • To identify common risk factors for anastomotic leaks after primary bariatric surgery.
  • To develop and validate a risk index for predicting leak occurrence based on identified factors.

Main Methods:

  • Multivariate analysis of a large bariatric surgery database (MBSAQIP).
  • Identification of statistically significant risk factors for leaks.
  • Development of a risk index using odds ratios (OR) to quantify leak risk based on the number of risk factors present.

Main Results:

  • Analysis of 193,847 patients (140,605 SG, 53,242 RYGB).
  • Leak rates were 0.1% after SG and 0.2% after RYGB.
  • Key risk factors identified: hypoalbuminemia (OR 3.196), prior foregut surgery (OR 2.827), therapeutic anticoagulation (OR 1.874), smoking (OR 1.776), hypertension (OR 1.404), sleep apnea (OR 1.322), and bypass surgery (OR 1.487).
  • Leak risk increased exponentially with the number of risk factors, reaching an OR of 22.278 for 7 factors.

Conclusions:

  • The number of identified risk factors correlates exponentially with the risk of anastomotic leaks.
  • Hypoalbuminemia, smoking, therapeutic anticoagulation, and prior foregut surgery are the most significant predictors.
  • The developed risk score provides a more precise estimation of leak risk in bariatric surgery patients.