Analysis of Bariatric Surgery in High-risk Patients

Objective: In this study, we evaluated high-risk patients who underwent bariatric surgery. Patients who underwent bariatric surgery by the same surgical team were investigated. All patients’ medical records were obtained by examining follow up form of anesthesia, patients files and nurse observation files.Material and Methods: In this study, high risk criteria were divided in two groups as; major and minor criteria. Major criteria were accepted as; Cardiovascular, respiratory, renal, hepatic diseas and diabetes. Minor criteria were accepted as; Age > 40 years , tobacco usage, alcohol usage, body mass index > 43 kg/ m² , sleep apnea syndrome, gastroesophageal reflux disease. Patients withone major and one minor criterion or with two major criteria or two major criteria were classified as high risk patient group. In aspect of 120 patients within this study we evaluated morbidity, mortality and postoperative intensive care unit requirement.Results: We enrolled 3.3 % mortality rates, 42.5% morbidity rates and 25% intensive care unit requirement. Most frequent complications were respiratory failure, band related complications and cardiovascular complications.Conclusion: In our study; Age over 40 years , body mass index > 43 kg/ m² , sleep apnea syndrome, cardiovascular system disease, diabetes, prolonged pneumoperitoneum time at laparoscopic surgery, open surgery, hypoalbuminemia and blood glucose level over 126 mg/ dL were accepted as factors increasing morbidity and postoperative intensive care unit requirement.