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Post-op women at greater risk of pregnancy and birth complications

Women who have undergone bariatric surgery appear to be at higher risk of developing complications during pregnancy, and their babies seem more likely to be born prematurely, small for gestational age, have congenital anomalies and be admitted to intensive care, according to a comprehensive assessment of how bariatric surgery affects pregnancy outcomes, presented at this year's European Congress on Obesity (ECO) in Glasgow, UK.

No increase in complications with abdominoplasty in patients with obesity

Abdominoplasty can be safely performed in obese patients, with no increase in complications compared to non-obese patients, according to researchers from Long Island Plastic Surgical Group, Garden City, NY, USA. In this study, the authors compare the outcomes of obese and nonobese patients who underwent abdominoplasty. The findings help to alleviate concerns that patients with obesity are at higher risk of complications after abdominoplasty.

No differences between Harmonic and LigaSure devices in LSG patients

There are no significant differences between ultrasonic systems such as the Harmonic scalpel and electrothermal bipolar-activated devices such as the LigaSure device in patients undergoing laparoscopic sleeve gastrectomy (LSG), according to researchers from Federico II University, Naples, Italy. They note that the choice of the energy device should be based on the preference of the surgeon and on the hospital cost policy.

23-years study indicates banding has long lasting beneficial effects

The preventive effect of gastric banding (GB) on mortality is maintained up to 23 years, according to researcher from Milan, Italy. However, the preventive effect of GB on co-morbidities and on hospital admissions increases with time.

Bariatric surgery linked to safer childbirth for the mother

Mothers with obesity who lose weight through bariatric surgery can have safer childbirth including fewer caesarean sections, infections, tears and haemorrhages, and fewer cases of post-term delivery or uterine inertia according to an observational study by researchers at Karolinska Institutet in Sweden.

Accredited bariatric centre reduces post-operative complications

An academic medical centre’s weight-loss surgery programme greatly lowered its rates of several postoperative complications, including rehospitalisation in the first month, surgical site and urinary tract infections and bleeding, despite almost doubling its surgical volume over five years – according to the results of a multi-year quality improvement project presented at the American College of Surgeons (ACS) 2018 Quality and Safety Conference.

Fifty million patients suffer surgical complications each year

Poor patient outcomes are common after planned (elective) in-patient surgery and that mortality rates following complications are at broadly similar levels in the poorest and wealthiest countries although patient populations may differ, according to a paper, ‘Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries,’ published in the British Journal of Anaesthesia by the International Surgical Outcomes Study Group.

Delaying bariatric surgery may result in poorer outcomes

Obese patients who underwent bariatric surgery were more like to achieve a BMI of <30 one year after surgery if they had a BMI<40 before surgery, according to a study published by JAMA Surgery. The study authors from University of Michigan Health Systems, Ann Arbor, Wayne State University and Henry Ford Health System, Detroit, Michigan, report that significant predictors for success included a preoperative BMI<40 and undergoing a metabolic procedure such as sleeve gastrectomy, gastric bypass, or duodenal switch.

Is screening endoscopy required for intragastric balloons?

Intragastric balloons may safely be placed without endoscopy using fluoroscopic guidance and a careful screening history prior to placement, according to research by Dr Elisabeth M H Mathus-Vliegen and colleagues, from the Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands. The study, which evaluated the usefulness of screening endoscopy and to assess patients who had balloons placed without endoscopy, also reports that prior screening does not predict complications during balloon therapy.

BASIC – predicting post-op complications after surgery

Researchers from Amsterdam, Blaricum and Rotterdam, The Netherlands, who used six pre-operative patient characteristics to classify patients in three risk classes, have concluded that their model identifies a small subgroup of patients with 30.6% risk of overall postoperative complications following bariatric surgery.

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