Acta Scientific Clinical Case Reports (ASCR)

Case Report Volume 9 Issue 2

Postoperative Complications in Metabolic Surgery

Marc-Cristian Cojocaru1*, Anca Violeta Craitan2, Victor Diaconu3 and Dan-Ioan Ulmeanu4

1Department of General Surgery III, Bucharest Clinical Emergency Hospital, Romania
2Department of Anaesthesia and ICU, Bucharest Clinical Emergency Hospital, Romania
3Department of Obesity Surgery, Provita Medical Center Bucharest, Romania
4Chief Department of General and Thoracic Surgery, Regina Maria Hospital, Romania

*Corresponding Author: Marc-Cristian Cojocaru, Department of General Surgery III, Bucharest Clinical Emergency Hospital, Romania.

Received: December 09, 2024; Published: January 03, 2025

Abstract

Objective: The objective of this study is to demonstrate the major contribution of metabolic surgery in the treatment of obesity and the improvement or even complete remission of its associated comorbidities.

Patients and Methods: The study base of this thesis comprises a cohort of 272 patients diagnosed and treated at various stages of obesity at the Bariatric Surgery Center in Bucharest between January 2018, and June 2019.

Results: A higher prevalence of female patients (71%) and urban origin (88%) is a general characteristic of candidates for bariatric surgery. Patient compliance tends to favor laparoscopic vertical sleeve gastrectomy, with the decisive factor being the short hospital stay duration. Laparoscopic vertical sleeve gastrectomy requires thorough preoperative patient education regarding potential complications. A postoperative complication rate of 35.7% was observed, which aligns with rates reported in multicenter studies. All patients experienced significant weight loss 12 months after undergoing laparoscopic vertical sleeve gastrectomy, with an average excess weight loss percentage of 59.6%. The success of the surgical procedure showed higher values in diabetic patients compared to non-diabetic patients 12 months postoperatively, with marked weight loss during the first three months after surgery. More than half of the studied cohort (53.67%) presented with a BMI corresponding to grade II obesity, indicating a correlation between weight status awareness and the timing of seeking medical advice. Average plasma HbA1c levels demonstrated a consistent decline throughout the follow-up period. Dyslipidemia resolved in 48.8% of the patients. Both the short median hospitalization duration (2 days) and direct costs support the use of laparoscopic vertical sleeve gastrectomy.

Conclusion: The revision rate for vertical sleeve gastrectomy largely depends on the patient’s eating behavior. Skipping the preoperative psychiatric evaluation significantly reduces the success rate at 12 months postoperatively due to the adoption of harmful behaviors by patients.Recognizing that bariatric surgery is the only viable solution for sustained weight loss and improved quality of life in patients with morbid obesity underscores the need to incorporate these procedures into treatment guidelines and expand public access to this treatment option.

Keywords:Metabolic Surgery; Obesity; Postoperative Complications; Surgical Techn

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Citation

Citation: Marc-Cristian Cojocaru., et al. “Postoperative Complications in Metabolic Surgery". Acta Scientific Clinical Case Reports 6.2 (2025): 04-37.

Copyright

Copyright: © 2025 Marc-Cristian Cojocaru., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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