دوشنبه 1 آبان 1396
به پورتال جامع کنگره ها - سمینارها و همایشهای دانشگاه علوم پزشکی تبریز خوش آمدید
   October 23, 2017
   
   
     
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Title Postoperative Complications in Bariatric Patients With Undefined Obesity Hypoventilation Syndrome Undergoing Bariatric Surgery
Authors Dr Burcu Yormaz1 (Speaker),Dr İlhan Ece2,Dr Serdar Yormaz2 1-Beyhekım State Hospital, Department Of Chest Disease,Konya,Turkey 2-Selcuk UniversityMedicine faculty,Department Of General Surgery, Konya,Turkey
Abstract Background Among patients who have obstructive sleep apnea (OSA), a higher number of medical morbidities are known to be associated with those who have obesity hypoventilation syndrome (OHS) compared with OSA alone. OHS can pose a higher risk of postoperative complications after bariatric surgery (BS)in superobeses (BMI>50) and often is unrecognized at the time of surgery. The aim of this study was to assess retrospectively identify patients with OHS and compare their postoperative outcomes with those of patients with OSA alone. Methods Patients meeting criteria for OHS were identified within a large cohort with OSA who underwent BS at a tertiary university care center. We identified postoperative outcomes associated with OSA and OHS as well as the clinical findings of OHS (BMI, apnea-hypopnea index [AHI]). Multivariable models were used for outcomes, respectively.Diagnostic parameters have used according to novel indexes and criteries which wa designed by WORLD health organisation (WHO). Results Patients with hypercapnia from definite or possible are more likely to experience postoperative respiratory failure (OR, 10.9; P < .0001), postoperative heart failure (OR, 5.4; , P = .002), prolonged intubation (OR, 3.1; P = 0,02), postoperative ICU transfer (OR, 10.9; P < .0001), and longer ICU (β-coefficient, 0.86; P = 0.09) and hospital ( P = 0.08) lengths of stay compared with patients with OSA. All of the pursuit parameters have changed according to the patients undercontrolled morbidity number and steady treatment procedures.superobesity ‘s complication rates increases due to preoperative evaluations of smoke pack year,copd disease treatment period and compliance to medical doctor’s advice.Among the clinical determinants of OHS, neither BMI nor AHI showed associations with any postoperative outcomes in multivariable regression. Conclusions More significance emphasis is needed on preoperative recognition of hypercapnia among patients with OSA undergoing BS. Further studies should be needed among morbid obese patients who would underwent bariatric surgery in respiratory etiology.
Keywords obese,hypoventilaion,complication
 
     
     
 
 
     
     
 
 
     
     
 

برنامه اتوماسیون اداری
 
     
     
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