Anesthesia for restrictive bariatric surgery (gastric bypass not included): Laparoscopic vs open procedures

T. Ezri, G. Muzikant, B. Medalion, P. Szmuk, I. Charuzi, S. Susmallian

Research output: Contribution to journalReview article

15 Scopus citations

Abstract

Publications regarding anesthetic management for weight reduction surgery are scarce. We reviewed the records of 234 patients who underwent bariatric restrictive procedures (gastric bypass not included) from May 1999 to September 2000. Variables analyzed included demographics, anesthetic data and perioperative course. Patients were allocated into two groups: laparoscopic (LPG) and open procedures (OPG), comprising 167 and 67 patients respectively. Obstructive sleep apnea was present in 4.8% in LPG vs 6.1% in OPG. Awake fiberoptic intubation was performed in 3.6% in LPG and 1.5% in OPG. The other patients were anesthetized with rapid sequence induction (classic or modified). Grade III laryngoscopy was present in 6% in LPG and 7.1% in OPG. No intraoperative complications were encountered. Postoperative PACU follow-up time was similar. In both groups, i.v. meperidine was most frequently used for postoperative analgesia (in the PACU), as compared to the other analgesics employed (P < 0.03). Early postoperative complications (prolonged mechanical ventilation, unplanned ICU admission, sepsis, reoperation) occurred more frequently in OPG, but the difference between the two groups was statistically insignificant (P < 0.08). The length of hospitalisation was 3.8 ± 1.4 days in LPG and 6.2 ± 6.6 in OPG (P < 0.01). Mortality was zero. Anesthesia for restrictive bariatric surgery (both open and laparoscopic approaches) was associated with few complications. SUMMARY STATEMENT: We reviewed the records of 234 patients who underwent restrictive bariatric procedures (gastric bypass not included) from May 1999 to September 2000, in regard to perioperative complications. Anesthesia was associated with no intraoperative and few postoperative complications.

Original languageEnglish (US)
Pages (from-to)1157-1162
Number of pages6
JournalInternational Journal of Obesity
Volume28
Issue number9
DOIs
StatePublished - Sep 1 2004

Keywords

  • Anesthesia
  • Laparoscopic
  • Open
  • Surgery
  • Weight reduction

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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