Bariatric Surgery Outcomes in Morbidly Obese with the Metabolic Syndrome at US Academic Centers View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-10

AUTHORS

J. Esteban Varela, Marcelo W. Hinojosa, Ninh T. Nguyen

ABSTRACT

BACKGROUND: The metabolic syndrome is associated with significant cardiovascular morbidity and mortality. We assessed the in-hospital outcomes of bariatric surgery in morbidly obese patients with the metabolic syndrome in comparison to a control group without the metabolic syndrome. METHODS: Using ICD-9-CM diagnosis and procedure codes, clinical data for 20,242 patients with and without the metabolic syndrome who underwent bariatric surgery over a 5-year period were obtained from the University HealthSystem Consortium database. RESULTS: The prevalence of the metabolic syndrome among bariatric surgery patients was 27.4%. Patients with the metabolic syndrome presented significantly higher overall morbidity as compared to morbidly obese patients without the metabolic syndrome (8.6% vs. 5.8%; p < 0.01), and similar mortality (0.04% vs. 0.01%; p = 0.2) after bariatric surgery. Hispanics with the metabolic syndrome had the highest morbidity rates, and men had the uppermost mortality. In-hospital bariatric surgery outcomes were significantly improved among patients who underwent laparoscopic adjustable gastric banding. CONCLUSIONS: The data suggest that the presence of the metabolic syndrome affects inter-ethnic and gender-specific short-term outcomes after bariatric surgery. More... »

PAGES

1273-1277

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11695-008-9526-7

DOI

http://dx.doi.org/10.1007/s11695-008-9526-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002873434

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18431609


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