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Preoperative risk factors for early hemorrhagic complications in bariatric surgery: a case–control study

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Abstract

Background

Although a reliable procedure in morbid obesity treatment, bariatric surgery may be associated with serious complications such as leakage or bleeding. We aimed to analyze the preoperative factors involved in patients with early postoperative hemorrhage after any type of bariatric surgery who required conservative treatment or reoperation for this complication.

Methods

Retrospective case-controlled study (1:3) of 2 patient cohorts (postoperative bleeding/controls) matched by type of surgical intervention.

Results

Hypertension (Odds Ratio 5.029; 95% Confidence Interval 1.78–14.13) and history of antiplatelet medication (OR 13.263; 95% CI 1.39–125.9) were independent risk factors in the bivariate analyses, confirmed in the logistic regression model on multivariate analysis.

Conclusions

With no between-group differences in Body Mass Index (BMI) and type 2 Diabetes (T2D), early hemorrhagic complications were found to be more frequent in patients with hypertension or antiplatelet drug treatment.

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Authors and Affiliations

  1. General Surgery Department. Clínica Juan N Corpas, Universidad Nacional de Colombia, Bogotá, Colombia

    Andrés Castro

  2. General Surgery Department. Bariatric Surgery Unit, Hospital Clínico Universitario, Avenida Blasco Ibáñez 17, 46010, Valencia, Spain

    Norberto Cassinello, Raquel Alfonso & Joaquín Ortega

  3. Surgery Department, University of Valencia, Valencia, Spain

    Norberto Cassinello & Joaquín Ortega

Authors
  1. Andrés Castro
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  2. Norberto Cassinello
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  3. Raquel Alfonso
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  4. Joaquín Ortega
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Correspondence to Norberto Cassinello.

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Andrés Castro, Norberto Cassinello, Raquel Alfonso and Joaquín Ortega have no conflicts of interest or financial ties to disclose.

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Castro, A., Cassinello, N., Alfonso, R. et al. Preoperative risk factors for early hemorrhagic complications in bariatric surgery: a case–control study. Surg Endosc 36, 430–434 (2022). https://doi.org/10.1007/s00464-021-08302-7

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  • DOI: https://doi.org/10.1007/s00464-021-08302-7

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