ArticleObesity surgery2013
Pulmonary function testing and complications of laparoscopic bariatric surgery.
Article in Obesity surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 51 citations in OpenAlex.
- Trial
- The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life.Obesity surgery · 2020Trial
- Global collaborative research in metabolic and bariatric surgery (GCRMBS): current status and directions for the future.BMC surgery · 2024Review
- Pulmonary and chest wall function in obese adults.Scientific reports · 2023Article
- Multiple Beneficial Effects of Laparoscopic Sleeve Gastrectomy for Patients with Obesity, Type 2 Diabetes Mellitus, and Restrictive Ventilatory Dysfunction.Obesity surgery · 2022Article
- Pulmonary Complications Are a Strong Independent Predictor of 30-Day Mortality Following Elective Bariatric Surgery.Obesity surgery · 2022Article
- Comparison of respiratory muscle strength through manovacuometry in the early postoperative period of bariatric surgery by laparotomy and laparoscopy.Revista do Colegio Brasileiro de Cirurgioes · 2022Observational
- Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery.World journal of diabetes · 2021Review
- Comparative Study of Clinical and Ultrasound Parameters for Defining a Difficult Airway in Patients with Obesity.Obesity surgery · 2021Observational
- Impact of weight reduction surgery on static and dynamic lung volumes.Annals of medicine and surgery (2012) · 2021Article
- Reference Value for the Distance Walked in the Six-Minute Walk Test in Obese Brazilian Men in the Preoperative Period of Bariatric Surgery.Journal of obesity · 2021Article
- Prediction of Airflow Obstruction and the Risk of Complications in Morbidly Obese Patients Undergoing Bariatric Surgery.Obesity surgery · 2019Article
- Obesity Surgery and Anesthesiology Risks: a Review of Key Concepts and Related Physiology.Obesity surgery · 2019Review
- Article
- Pre-surgical Pulmonary Rehabilitation in Asthma Patients Undergoing Bariatric Surgery.Obesity surgery · 2017Article
- Can We Predict the Perioperative Pulmonary Complications Before Laparoscopic Sleeve Gastrectomy: Original Research.Obesity surgery · 2017Article
- Do Changes in Perioperative and Postoperative Treatment Protocol Influence the Frequency of Pulmonary Complications? A Retrospective Analysis of Four Different Bariatric Groups.Obesity surgery · 2017Article
- Anaesthesia for minimally invasive surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Review
- Cardiovascular Autonomic Dysfunction in Patients with Morbid Obesity.Arquivos brasileiros de cardiologia · 2015Article
- Evaluation of spirometric testing as a routine preoperative assessment in patients undergoing bariatric surgery.Obesity surgery · 2015Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is associated with respiratory symptoms and impaired pulmonary function, which could increase the risk of complications after bariatric surgery. The purpose of this study is to assess the relationship between pulmonary function parameters before, and the risk of complications after, laparoscopic bariatric surgery.
methodsThis prospective study included patients (age 18-60, BMI >35 kg/m2), who were eligible for bariatric surgery. Spirometry was performed in all patients. Complications up to 30 days after bariatric surgery were recorded.
resultsFour hundred eighty-five patients were included (304 laparoscopic sleeve gastrectomy, 181 laparoscopic gastric bypass). There were 53 complications (8 pulmonary, 27 surgical, 14 infectious, 4 other) in 50 patients (10%). There were 35 re-admissions (7.2%), and 17 re-laparoscopies (3.5%). Subjects with and without complications did not differ significantly with respect to demographics, weight, BMI, abdominal circumference or fat percentage. Subjects with complications had a significantly lower mean FEV1 (mean 86.9% predicted) and FVC (95.6% predicted) compared to patients without complications (95.9% predicted, p = 0.005, and 100.1% predicted, p = 0.045, respectively). After adjustment for age, gender, BMI, and smoking, abnormal spirometry value remained the single predictive covariable of postoperative complications: FEV1/FVC <70% adjusted OR 3.1 (95% CI 1.4-6.8, p = 0.006) and ΔFEV1 ≥12 % adjusted OR 2.9 (95% CI 1.3-6.6, p = 0.010).
conclusionsThe risk of pulmonary complications after laparoscopic bariatric surgery is low. However, subjects with abnormal spirometry test results have a threefold risk of complications after laparoscopic bariatric surgery. Preoperative pulmonary function testing might be useful to predict the risk of complications of laparoscopic bariatric surgery.
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