“UTILITY OF HEART FREQUENCY AS A MAIN PREDICTOR OF COMPLICATIONS IN BARIATRIC SURGERY."
Keywords:
Bariatric surgery, Postoperative complications, TachycardiaAbstract
BACKGROUND. Identifying complications in bariatric surgery is complex, so it is necessary to define clinical criteria for its detection and early treatment. In this study we analyzed in a group of patients changes in heart rate in the first hours after bariatric surgery with the intention of predicting complications. MATERIALS AND METHODS. Prospective, observational and single-center study that includes patients undergoing bariatric surgery. Heart rate and other preoperative clinical parameters were reported and in the first 6-10 hours, 24 and 48 hours after bariatric surgery, as well as complications during these periods of time. RESULTS. 308 patients; 91.5% women, mean age and BMI of 39.4 years and 40.3 kg / m2, 3.5% of patients presented complications in the first 48 hours after bariatric surgery with heart rates greater than 100 bpm (100.9 ± 20.8 bpm vs. baseline 76.1 ± 16 bpm; p <0.001). The increase in heart rate in the early postoperative state was the only predictive sign of complications in the first 24-48 hours (OR, 1.1; 95% 1.05-1.16; p = 0.001). CONCLUSION. Patients who develop complications in the first 48 hours after bariatric surgery, have elevated heart rate, especially those with major complications
References
Li G, Zhang P, Wang J, Gregg EW, Yang W, Gong Q, et al. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: a 20-year follow-up study. Lancet. 2008; 371:1783-9.
Nissen SE, Nicholls SJ, Wolski K, Rodés-Cabau J, Cannon CP, Deanfield JE, et al. Effect of rimonabant on progression of atherosclerosis in patients with abdominal obesity and coronary artery disease: the STRADIVARIUS randomized controlled trial. JAMA.2008; 299:1547-60.
Potvin M, Gagner M, Pomp A. Laparoscopic Roux en-Y gastric bypass for morbid obesity: a feasibility study in pigs. Surg Laparosc Endosc. 1997;7(4):294-7.
Hamilton EC, Sims TL, Hamilton TT, Mullican MA, Jones DB, Provost DA. Clinical predictors of leak after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2003; 17:679-84.
Nguyen N, Longoria M, Chalifoux S, Wilson S. Gastrointestinal hemorrhage after Laparoscopic Gastric Bypass. Obes Surg. 2004; 14:1308-12.
Cottam D, Lord J, Dallal RM, Wolfe B, Higa K, McCauley K, et al. Medicolegal analysis of 100 malpractice claims against bariatric surgeons. SOARD. 2007;3:60-66.
Rosenthal RJ, Szomstein S, Ennedy Cl, et al. Laparoscopic surgery for morbid obesity: 1, 001 consecutive bariatric operations performed at the Bariatric Institute, Cleveland Clinic Florida. Obes Surg. 2006;16:119-24.
Singh R, Fisher BL. Sensitivity and specificity of postoperative upper GI series following gastric bypass. Obes Surg. 2003;13: 73-75.
Bellorin O, Abdemur A, Sucandy I, Szomstein S, Rosenthal RJ. Understanding the significance, reasons and patterns of abnormal vital signs after gastric bypass for morbid obesity. Obes Surg. 2011 Jun;21(6):707-13.
Buchwald H, Estok R, Fahrbach K, Banel D, Sledge I. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142(4):621-32.
Livihits M, Mercado C, Yermilov I, Parikh JA, Dutson E, Mehran A, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70-89.
Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W, et al. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361 (5):445-54.
Rocha AT, de Vasconcellos AG, da Luz Neto ER, Araujo DM, Alves ES, Lopes AA. Risk of venous thromboembolism and efficacy of thromboprophylaxis in hospitalized obese medical patients and in obese patients undergoing bariatric surgery. Obes Surg. 2006;16(12):1645-1655.
Higa K, Boone K, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients – What have we learned? Obes Surg 2000;10(6): 509-13.
Byrne TK. Complications of surgery for obesity. Surg Clin North Am. 2001; 81(5): 1181-93.
Bellorin O1, Abdemur A, Sucandy I, Szomstein S, Rosenthal RJ. Understanding the significance, reasons and patterns of abnormal vital signs after gastric bypass for morbid obesity. Obes Surg. 2011;21(6):707-13.
Deitel M, Gagner M, Erickson AL, Crosby RD. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(6):749-59.
Pratt GM, Learn CA, Hughes GD, Clark BL, Warthen M, Pories W. Demographics and outcomes at American Society for Metabolic and Bariatric Surgery Centers of Excellence. Surg Endosc. 2009;23 (4):795-8.
Downloads
Published
How to Cite
Issue
Section
License
ARCHIVOS DE MEDICINA,SALUD Y EDUCACIÓN MÉDICA by Universidad Autónoma de Tamaulipas is licensed under a Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional License.
ARCIVOS DE MEDICINA, SALUD Y EDUCACIÓN MÉDICA es una revista digital de acceso abierto (OJS) y editada por la Universidad Autónoma de Tamaulipas, con publicación semestral Sitio web: ... Director de la revista:... Reserva de Derechos al Uso Exclusivo No..... otorgados por el Instituto Nacional del Derecho de Autor (INDAUTOR). Responsable de la última actualización Dr. José Alberto Ramírez de León, con domicilio en calle Matamoros S/N Zona Centro, C.P. 87000 Ciudad Victoria, Tamaulipas, México. Tels. (834) 3181800 y 3181700, ext 1148..
