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Volume 2019, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

The impact of age on complications following bariatric surgery remains unclear. Research is therefore warranted among previously unstudied populations of bariatric surgery patients. The aim of the current study was to assess the impact of age on postoperative complications following bariatric surgery in Saudi Arabia. This retrospective study included 301 patients who underwent bariatric surgery between January 2011 and July 2016. Patients were classified into three groups according to age: < 25 years; 25–36 years; and >36 years. Primary outcomes were determined by identifying the number of complications reported during a period of 180 days. The negative binomial model was used to assess the relationship between age and the high rate of postoperative complications following adjustment for confounding variables. The incidence of overall complications was 10.1% in the < 25-year age group, 15% in the 25–36-year age group, and 24.2% in the >36-year age group. After adjusting for confounding variables, it was discovered that the risk of postoperative complications increases with age. The risk was higher in the >36-year age group than in the >25-year age group [adjusted relative rate (aRR) = 2.35; 95% confidence interval (CI) = 1.046–5.290;  = 0.039]. Diabetes (aRR = 3.27), adjustable gastric bands (aRR = 3.40), and a more lengthy hospital stay (aRR = 1.23) were associated with increased rates of postoperative complications. Age is independently associated with a high rate of postoperative complications following bariatric surgery. The results showed that patients with diabetes, those using adjustable gastric bands, and those with longer length of hospital stay had significantly higher incidence of postoperative complications. These findings indicate the need for risk stratification tools to evaluate patients as candidates for bariatric surgery and to use as a guide for identifying optimal preoperative factors.

© 2019 Ahmed, Alanazi, ALMuqbil, AlJohi, AlRasheed, AlBuraikan, Ahmed, licensee HBKU Press.
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2019-11-29
2024-04-19
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References

  1. Seidell JC. Obesity: a growing problem. Acta Paediatrica. 1999; Feb 88:428:46–50.
     [Google Scholar]
  2. Al-Quwaidhi AJ, Pearce MS, Critchley JA, Sobngwi E, O'Flaherty M. Trends and future projections of the prevalence of adult obesity in Saudi Arabia, 1992–2022. East Mediterr Health J. 2014; Oct 20:10:589–595.
     [Google Scholar]
  3. Al-Ghamdi SH. The association between watching television and obesity in children of school-age in Saudi Arabia. J Family Community Med. 2013; May 20:2:83–89.
     [Google Scholar]
  4. Al-Qahtani DA, Imtiaz ML, Shareef MM. Obesity and cardiovascular risk factors in Saudi adult soldiers. Saudi Med J. 2005; Aug 26:8:1260–1268.
     [Google Scholar]
  5. Abalkhail B. Overweight and obesity among Saudi Arabian children and adolescents between 1994 and 2000. East Mediterr Health J. 2002; Jul-Sep 8:4-5:470–479.
     [Google Scholar]
  6. Hansen EN, Torquati A, Abumrad NN. Results of bariatric surgery. Annu Rev Nutr. 2006; 26::481–511.
     [Google Scholar]
  7. Shikora SA, Kim JJ, Tarnoff ME. Nutrition and gastrointestinal complications of bariatric surgery. Nutr Clin Pract. 2007; Feb 22:1:29–40.
     [Google Scholar]
  8. Smith BR, Schauer P, Nguyen NT. Surgical approaches to the treatment of obesity: bariatric surgery. Med Clin North Am. 2011; Sep 1 95:5:1009–1030.
     [Google Scholar]
  9. Aldaqal SM, Sehlo MG. Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy. Gen Hosp Psychiatry. 2013; May-Jun 35:3:259–264.
     [Google Scholar]
  10. Ahmed A, AlBuraikan D, ALMuqbil B, AlJohi W, Alanazi W, AlRasheed B. Readmissions and emergency department visits after bariatric surgery at Saudi Arabian hospital: the rates, reasons, and risk factors. Obes Facts. 2017; 10:5:432–443.
     [Google Scholar]
  11. Wills CE Jr. Early postoperative complications in bariatric surgery. J Med Assoc Ga. 1986; May 75:5:267–269.
     [Google Scholar]
  12. Kuchinka J, Nawacki Ł, Bryk P, Matykiewicz J, Wawrzycka I, Kozieł D, et al.  Reoperations in bariatric surgery–indications and initial evaluation of postoperative complications. Pol Przegl Chir. 2016; Mar 1 88:2:87–92.
     [Google Scholar]
  13. García-García ML, Martín-Lorenzo JG, Lirón-Ruiz R, Torralba-Martínez JA, García-López JA, Aguayo-Albasini JL. Failure of the Obesity Surgery Mortality Risk Score (OS-MRS) to Predict Postoperative Complications After Bariatric Surgery. A Single-Center Series and Systematic Review. Obes Surg. 2017; Jun 27:6:1423–1429.
     [Google Scholar]
  14. Wrzesinski A, Correa JM, Fernandes TM, Monteiro LF, Trevisol FS, Nascimento RR. Complications requiring hospital management after bariatric surgery. Arq Bras Cir Dig. 2015; 28:1:3–6.
     [Google Scholar]
  15. Pajecki D, Santo MA, Joaquim HD, Morita F, Riccioppo D, Cleva RD, et al.  Bariatric surgery in the elderly: results of a mean follow-up of five years. Arq Bras Cir Dig. 2015; Dec 28:(Suppl 1):15–18.
     [Google Scholar]
  16. Sanni A, Perez S, Medbery R, Urrego HD, McCready C, Toro JP, et al.  Postoperative complications in bariatric surgery using age and BMI stratification: a study using ACS-NSQIP data. Surg Endosc. 2014; Dec 28:12:3302–3309.
     [Google Scholar]
  17. Scozzari G, Passera R, Benvenga R, Toppino M, Morino M. Age as a long-term prognostic factor in bariatric surgery. Ann Surg. 2012; Nov 1 256:5:724–729.
     [Google Scholar]
  18. Qin C, Luo B, Aggarwal A, De Oliveira G, Kim JY. Advanced age as an independent predictor of perioperative risk after laparoscopic sleeve gastrectomy (LSG). Obes Surg. 2015; Mar 1 25:3:406–412.
     [Google Scholar]
  19. Peraglie C. Laparoscopic mini-gastric bypass in patients age 60 and older. Surg Endosc. 2016; Jan 1 30:1:38–43.
     [Google Scholar]
  20. Quebbemann B, Engstrom D, Siegfried T, Garner K, Dallal R. Bariatric surgery in patients older than 65 years is safe and effective. Surg Obes Relat Dis. 2005;  Jul-Aug 1:4:389–392.
     [Google Scholar]
  21. Nelson LG, Lopez PP, Haines K, Stefan B, Martin T, Gonzalez R, et al.  Outcomes of bariatric surgery in patients ≥ 65 years. Surg Obes Relat Dis. 2006; May-Jun 2:3:384–388.
     [Google Scholar]
  22. Quirante FP, Montorfano L, Rammohan R, Dhanabalsamy N, Lee A, Szomstein S, et al.  Is bariatric surgery safe in the elderly population? Surg Endosc. 2017; Apr 1 31:4:1538–1543.
     [Google Scholar]
  23. Bergeat D, Lechaux D, Ghaina A, Thibault R, Bouygues V. Postoperative outcomes of laparoscopic bariatric surgery in older obese patients: a matched case-control study. Obes Surg. 2017; Jun 1 27:6:1414–1422.
     [Google Scholar]
  24. Frezza EE, Barton A, Herbert H, Wachtel MS. Laparoscopic sleeve gastrectomy with endoscopic guidance in morbid obesity. Surg Obes Relat Dis. 2008; Sep-Oct 4:5:575–579.
     [Google Scholar]
  25. Frezza EE, Reddy S, Gee LL, Wachtel MS. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009; Jun 19:6:684–687.
     [Google Scholar]
  26. Bellanger DE, Greenway FL. Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. Obes Surg. 2011; Feb 21:2:146–150.
     [Google Scholar]
  27. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al.  Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004; Oct 13 292:14:1724–1737.
     [Google Scholar]
  28. Poulose BK, Griffin MR, Moore DE, Zhu Y, Smalley W, Richards WO, et al.  Risk factors for postoperative mortality in bariatric surgery. J Surg Res. 2005; Jul 1 127:1:1–7.
     [Google Scholar]
  29. Shitrit AB, Magen A, Swartzs E, Chen B, Matveychuk A, Talker O, et al.  Long-term reflux-related symptoms after bariatric surgery: comparison of sleeve gastrectomy versus laparoscopic adjustable gastric banding. Lung. 2013; Jun 191:3:289–293.
     [Google Scholar]
  30. Masoomi H, Reavis KM, Smith BR, Kim H, Stamos MJ, Nguyen NT. Risk factors for acute respiratory failure in bariatric surgery: data from the Nationwide Inpatient Sample, 2006-2008. Surg Obes Relat Dis. 2013; Mar-Apr 9:2:277–281.
     [Google Scholar]
  31. Masoomi H, Rimler J, Wirth GA, Lee C, Paydar KZ, Evans GR. Frequency and Risk Factors of Blood Transfusion in Abdominoplasty in Post–Bariatric Surgery Patients: Data from the Nationwide Inpatient Sample. Plast Reconstr Surg. 2015; May 1 135:5:861e–868e.
     [Google Scholar]
  32. Garg T, Rosas U, Rivas H, Azagury D, Morton JM. National prevalence, causes, and risk factors for bariatric surgery readmissions. Am J Surg. 2016; Jul 212:1:76–80.
     [Google Scholar]
  33. Algahtani HA, Khan AS, Khan MA, Aldarmahi AA, Lodhi Y. Neurological complications of bariatric surgery. Neurosciences (Riyadh). 2016; Jul 21:3:241.
     [Google Scholar]
  34. Al-Shurafa H, Elzaafarany AH, Albenmousa A, Balata MG. Primary experience of bariatric surgery in a newly established private obesity center. Saudi Med J. 2016; Oct 37:10:1089–1095.
     [Google Scholar]
  35. Alqout O, Reynolds F. Experiences of obesity among Saudi Arabian women contemplating bariatric surgery: An interpretative phenomenological analysis. J Health Psychol. 2014; May 19:5:664–677.
     [Google Scholar]
  36. Al Akwaa A, El Zubier A, Al Shehri M. Pattern of liver function tests in morbidly obese Saudi patients undergoing bariatric surgery. Saudi J Gastroenterol. 2011; Jul-Aug 17:4:252–255.
     [Google Scholar]
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Impact of age on postoperative complications following bariatric surgery
Qatar Medical Journal 2019, 11 (2020); https://doi.org/10.5339/qmj.2019.11
/content/journals/10.5339/qmj.2019.11
/content/journals/10.5339/qmj.2019.11
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  • Article Type: Research Article
Keyword(s): age, morbid obesity, postoperative complications, Saudi Arabia and weight loss

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