The Effect of Bariatric Surgery on Perioperative Complications After Hysterectomy

Publication date: Available online 14 December 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Julia Whitley, Kristin J. Moore, Erin T. Carey, Michelle LouieAbstractStudy ObjectiveTo compare intra-operative and 30-day post-hysterectomy outcomes between patients who had bariatric surgery before hysterectomy and patients with body mass index (BMI)>40 kg/m2 without prior bariatric surgery.DesignA retrospective cohort study.SettingA tertiary-care academic medical center.PatientsPatients with a history of bariatric surgery and patients with body mass index (BMI)>40 kg/m2 and no prior bariatric surgery undergoing any route of hysterectomy between January 1, 2000 and March 1, 2018.InterventionsAfter exclusion of patients with gynecologic malignancy and bariatric surgery reversal, 223 patients with a history of bariatric surgery were matched at a 1:2 ratio by year of hysterectomy to 446 randomly selected patients with body mass index (BMI)>40 kg/m2 and no bariatric surgery before hysterectomy. Demographics, medical comorbidities, and surgical characteristics were collected by manual chart review. Chi-square or Fisher's exact tests were used to compare the incidence of intra-operative and 30-day post-operative complications. Polytomous logistic regression was used to estimate the odds of major and minor post-operative complications. Binary logistic regression was used to estimate the odds of any intra- or post-operative complications.Measurements and Main Resul...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Conditions:   Endometrial Cancer;   Obesity;   Endometrial Intraepithelial Neoplasia Intervention:   Behavioral: Referral to Center for Metabolic and Bariatric Surgery Sponsors:   Brigham and Women's Hospital;   Dana-Farber Cancer Institute Not yet recruiting
Source: - Category: Research Source Type: clinical trials
Abstract Metabolic surgery is increasingly becoming recognized as a more effective treatment for patients with type 2 diabetes (T2D) and obesity as compared to lifestyle modification and medical management alone. Both observational studies and clinical trials have shown metabolic surgery to result in sustained weight loss (20-30%), T2D remission rates ranging from 23% to 60%, and improvement in cardiovascular risk factors such as hypertension and dyslipidemia. Metabolic surgery is cost-effective and relatively safe, with perioperative risks and mortality comparable to low-risk procedures such as cholecystectomy, h...
Source: Annual Review of Medicine - Category: General Medicine Authors: Tags: Annu Rev Med Source Type: research
CONCLUSION: Combined minimally invasive hysterectomy and bariatric surgery for obese women with endometrial cancer can promote sustained weight loss and improve survivorship. PMID: 31403586 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
AbstractSeveral bariatric operations originally designed to promote weight loss have been found to powerfully treat type 2 diabetes, causing remission in most cases, through diverse mechanisms additional to the secondary consequences of weight loss. These observations have prompted consideration of such operations as ‘metabolic surgery’, used expressly to treat diabetes, including among patients who are only mildly obese or merely overweight. Large, long-term observational studies consistently demonstrate that bariatric/metabolic surgery is associated with reductions in all cardiovascular risk factors, actua l ...
Source: Diabetologia - Category: Endocrinology Source Type: research
The Society of Interventional Radiology (SIR) is inviting submissions of original...Read more on AuntMinnie.comRelated Reading: SIR: Prostate artery embolization effective long term SIR: MRI debunks venoplasty for treating MS SIR taps new president, bestows 3 gold medals SIR: Bariatric embolization can beat obesity SIR: UFE use still lags hysterectomy for fibroids
Source: Headlines - Category: Radiology Source Type: news
AbstractPurposeA concern regarding the safety of bariatric surgery may explain the fact that only a minor fraction of morbidly obese patients has access to it. This is a population-based, nationwide study reporting 30-day, 90-day, and 1-year mortality rates following bariatric surgery in comparison with mortality rates after other common operations in Finland.Materials and methodsPatients undergoing surgery between January 2009 and December 2013 were included. Data on surgical procedures were obtained from the national hospital discharge registry, and cause of death was obtained from Statistics Finland.ResultsInclusion cri...
Source: Obesity Surgery - Category: Surgery Source Type: research
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