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Bariatric Surgery Outcomes in Morbidly Obese with the Metabolic Syndrome at US Academic Centers

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Abstract

Background

The metabolic syndrome is associated with significant cardiovascular morbidity and mortality. We assessed the in-hospital outcomes of bariatric surgery in morbidly obese patients with the metabolic syndrome in comparison to a control group without the metabolic syndrome.

Methods

Using ICD-9-CM diagnosis and procedure codes, clinical data for 20,242 patients with and without the metabolic syndrome who underwent bariatric surgery over a 5-year period were obtained from the University HealthSystem Consortium database.

Results

The prevalence of the metabolic syndrome among bariatric surgery patients was 27.4%. Patients with the metabolic syndrome presented significantly higher overall morbidity as compared to morbidly obese patients without the metabolic syndrome (8.6% vs. 5.8%; p < 0.01), and similar mortality (0.04% vs. 0.01%; p = 0.2) after bariatric surgery. Hispanics with the metabolic syndrome had the highest morbidity rates, and men had the uppermost mortality. In-hospital bariatric surgery outcomes were significantly improved among patients who underwent laparoscopic adjustable gastric banding.

Conclusions

The data suggest that the presence of the metabolic syndrome affects inter-ethnic and gender-specific short-term outcomes after bariatric surgery.

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Acknowledgment

This study was presented in part at the 3rd Annual Academic Surgical Congress, Huntington Beach, CA, February 15, 2008.

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Authors and Affiliations

  1. Department of Surgery, University of Texas Southwestern, 4500 South Lancaster Road (Ste-112), Dallas, TX, 75216, USA

    J. Esteban Varela

  2. Department of Surgery, University of California Irvine, Irvine, CA, USA

    Marcelo W. Hinojosa & Ninh T. Nguyen

Authors
  1. J. Esteban Varela
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  2. Marcelo W. Hinojosa
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  3. Ninh T. Nguyen
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Corresponding author

Correspondence to J. Esteban Varela.

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Varela, J.E., Hinojosa, M.W. & Nguyen, N.T. Bariatric Surgery Outcomes in Morbidly Obese with the Metabolic Syndrome at US Academic Centers. OBES SURG 18, 1273–1277 (2008). https://doi.org/10.1007/s11695-008-9526-7

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  • DOI: https://doi.org/10.1007/s11695-008-9526-7

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