Prediction of Airflow Obstruction and the Risk of Complications in Morbidly Obese Patients Undergoing Bariatric Surgery

Author(s):
Turk, Y.; Sin, H.K.; Huisstede, A. van; Birnie, E.; Biter, U.; Hiemstra, P.S. (0000-0002-0238-5982); Braunstahl, G.J.
Published
2019
Publication type
Article / Letter to editor

Abstract

Morbidly obese subjects with airflow obstruction who underwent laparoscopic bariatric surgery appear to have the greatest risk to develop complications. In a retrospective cohort study, we identified a waist circumference >= 120 cm, smoking history >= 5PY and history of obstructive lung disease as statistically significant predictors of airflow obstruction. The resulting algorithm, aimed to identify subjects with airflow obstruction before bariatric surgery, was validated in a prospective study. The algorithm was found to be effective in identifying patients with low risk of airflow obstruction (negative predictive value 94.7%). Airflow obstruction, however, was not associated with post-operative complications as we expected. In contrast, inspiratory capacity and the Epworth Sleepiness scale were more promising predictors for post-operative complications in subjects undergoing bariatric surgery.

ObesityLung functionBariatric surgeryComplications
Date issued
2019-09-01
Language
English
Publisher
SPRINGER
Is part of
Obesity Surgery (2019), Vol. 29, no. 9, p. 3076-3080
hdl
1887/121865
doi
10.1007/s11695-019-03941-1