Abstract
Giriş
Obezitenin çeşitli hastalıklarla ilişkisi bilinmekte, morbidite ve mortalite üzerindeki etkisi açıkça ortaya konmuştır. Bu sağlık sorununa cerrahi tedavi yöntemleri uygulanmakta ve günümüzde sayıları artmaktadır.
Materyal - metod
Yerel klinik araştırma etik kurulu (Tarih 17.06.2020 ve Karar Numarası 59-949) gerekli izni aldıktan sonra çalışma gerçekleştirilmiştir. Ocak 2018 ile Aralık 2021 tarihleri arasında bariatrik cerrahi uygulanan hastalardan ameliyattan sonra acil servise başvuran hastalardan mini anketi iletişim kanalları üzerinden cevaplamalarını istedik. Soruları yanıtlamayı kabul eden 80 hasta çalışmaya dahil edildi.
Sonuçlar
Çalışma kapsamında toplam 80 hasta incelendi. Tüm hastaların cinsiyet ve yaş aralıkları incelendiğinde; 80 hastanın %83,8'i (67 hasta) kadın, %16,2'si erkektir. Ayrıca 80 hastanın % 18,8'i ameliyat sonrası tekrar hastaneye yatırıldı . Ameliyat sonrası hastaneye başvuran hastaların %93,3'ünü kadın hastalardı. Yani kadın hastaların %20,9'u, erkek hastaların ise %7,7'si ameliyat sonrası hastaneye başvurdu .
Son
Obezite cerrahisi sürekli kilo kaybı sağladığı, yaşam süresini artırdığı ve obezite komplikasyonlarını azalttığı için günümüzde vazgeçilmez bir tedavi seçeneğidir. Bu nedenle bu ameliyatı geçiren hasta sayısı artmaktadır. Pratisyen hekimler ve acil uzmanları bu hastaların yönetim algoritmasına hakim olmalıdır. Komplikasyonları nadirdir ve sinsi bir şekilde ilerler ve geri dönüşü olmayan nörolojik komplikasyonlara neden olabilir. Geç teşhis, ne yazık ki, ölümcül olabilir. En ufak bir şüphe varsa obez hastalardan genel cerrahi konsültasyon istenmelidir.
Keywords
References
- Akindele MO, Phillips JS, Igumbor EU. The relationship between body fat percentage and body mass index in overweight and obese individuals in an urban African setting. J Public Health Afr. 2016;7(1):515. doi: 10.4081/jphia.2016.515.
- World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: WHO; 2000. p.7-17.
- Dadan J, Iwacewicz P, Razak Hady H. Quality of life evaluation after selected bariatric procedures using the Bariatric Analysis and Reporting Outcome System. VSJ. 2010;5:93–99, doi: 10.5114/wiitm.2010.16419.
- Liu SY, Wong SK, Lam CC, et al. Long-term Results on Weight Loss and Diabetes Remission after Laparoscopic Sleeve Gastrectomy for A Morbidly Obese Chinese Population. Obes Surg., 2015 Oct;25(10):1901-8. doi: 10.1007/s11695-015-1628-4.
- Moszkowicz D, Arienzo R, Khettab I, et al. Sleeve gastrectomy severe complications: is it always a reasonable surgical option? Obes Surg. 2013;23:676-686. doi: 10.1007/s11695-012-0860-4.
- Casella G, Soricelli E, Rizzello M, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:821-826. doi: 10.1007/s11695-009-9840-8.
- Burgos AM, Braghetto I, Csendes A, et al. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg. 2009;19:1672. doi: 10.1007/s11695-009-9884-9.
- Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg. 2013;56:347-352.
- “Türkiye Beslenme ve Sağlık Araştırması-2010” ön raporu https://hsgm.saglik.gov.tr/tr/obezite/turkiyede-obezitenin-gorulme-sikligi.html
- Mora-Pinzon MC, Henkel D, Miller RE, et al. Emergency department visits and readmissions within 1 year of bariatric surgery: A statewide analysis using hospital discharge records. Surgery. 2017;162(5):1155-1162. doi: 10.1016/j.surg.2017.06.010.
- Kassir R, Debs T, Blanc P, et al. Complications of bariatric surgery: Presentation and emergency management. Int J Surg. 2016;27:77-81. doi: 10.1016/j.ijsu.2016.01.067.
- Sasaki T, Ishibashi Y, Hatao F, et al. A case of late postoperative intra-abdominal hemorrhage developing 13 months after laparoscopic sleeve gastrectomy. Asian J Endosc Surg. 2022;15(1):184-187. doi: 10.1111/ases.12958.
- Batayyah E, Yaseen W, Alshareef F. Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication-case report and literature review. J Surg Case Rep. 2021(4):rjab042. doi: 10.1093/jscr/rjab042.
Abstract
Objective: Obesity is defined as abnormal or excessive fat accumulation in the body to the extent that it impairs health in humans. It is a common health problem that is increasing in severity. Laparoscopic sleeve gastrectomy (LSG) is a preferred method because of satisfactory weight loss, resolution of comorbidities and performance safety. The increase in surgery has brought along the postoperative problems. New conditions related to bariatric surgery can be observed in all areas of life.
Methods: After obtaining the necessary permission from the local clinical research ethics committee, patients who had bariatric surgery in our hospital between January 2018 and December 2021 were asked to respond by sending a mini-questionnaire about their application to the emergency department after surgery. Eighty patients who agreed to answer the questions were included in the study. Questions were asked and the results were evaluated. In addition, none of the patients who applied to the hospital were admitted to the hospital.
Results: 53.38% of the patients who applied to the hospital came with stomach spasm and vomiting. Among the 80 patients, 18.8% were admitted to the hospital again after surgery. After the operation, 53.3% of the patients applied to the hospital within the first three months, 26.6% within the 4th and 6th months, and 20.1% after the 10th month.
Conclusion: General practitioners and emergency specialists should master the management algorithm of these patients. If there is the slightest doubt, obese patients should be consulted, if possible, from a surgeon experienced in bariatrics or a general surgeon.
References
- Akindele MO, Phillips JS, Igumbor EU. The relationship between body fat percentage and body mass index in overweight and obese individuals in an urban African setting. J Public Health Afr. 2016;7(1):515. doi: 10.4081/jphia.2016.515.
- World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: WHO; 2000. p.7-17.
- Dadan J, Iwacewicz P, Razak Hady H. Quality of life evaluation after selected bariatric procedures using the Bariatric Analysis and Reporting Outcome System. VSJ. 2010;5:93–99, doi: 10.5114/wiitm.2010.16419.
- Liu SY, Wong SK, Lam CC, et al. Long-term Results on Weight Loss and Diabetes Remission after Laparoscopic Sleeve Gastrectomy for A Morbidly Obese Chinese Population. Obes Surg., 2015 Oct;25(10):1901-8. doi: 10.1007/s11695-015-1628-4.
- Moszkowicz D, Arienzo R, Khettab I, et al. Sleeve gastrectomy severe complications: is it always a reasonable surgical option? Obes Surg. 2013;23:676-686. doi: 10.1007/s11695-012-0860-4.
- Casella G, Soricelli E, Rizzello M, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:821-826. doi: 10.1007/s11695-009-9840-8.
- Burgos AM, Braghetto I, Csendes A, et al. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg. 2009;19:1672. doi: 10.1007/s11695-009-9884-9.
- Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg. 2013;56:347-352.
- “Türkiye Beslenme ve Sağlık Araştırması-2010” ön raporu https://hsgm.saglik.gov.tr/tr/obezite/turkiyede-obezitenin-gorulme-sikligi.html
- Mora-Pinzon MC, Henkel D, Miller RE, et al. Emergency department visits and readmissions within 1 year of bariatric surgery: A statewide analysis using hospital discharge records. Surgery. 2017;162(5):1155-1162. doi: 10.1016/j.surg.2017.06.010.
- Kassir R, Debs T, Blanc P, et al. Complications of bariatric surgery: Presentation and emergency management. Int J Surg. 2016;27:77-81. doi: 10.1016/j.ijsu.2016.01.067.
- Sasaki T, Ishibashi Y, Hatao F, et al. A case of late postoperative intra-abdominal hemorrhage developing 13 months after laparoscopic sleeve gastrectomy. Asian J Endosc Surg. 2022;15(1):184-187. doi: 10.1111/ases.12958.
- Batayyah E, Yaseen W, Alshareef F. Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication-case report and literature review. J Surg Case Rep. 2021(4):rjab042. doi: 10.1093/jscr/rjab042.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Original Article / Medical Sciences |
| Authors | |
| Publication Date | June 22, 2023 |
| Submission Date | February 20, 2022 |
| Acceptance Date | June 14, 2023 |
| Published in Issue | Year 2023 Volume: 9 Issue: 2 |
