Perioperative risk factors in obese patients for bariatric surgery: A Singapore experience

Singapore Medical Journal

Volumn 52, Issue 2, 2011, Pages 94-99

  Iyer, U S ^a   Koh, K F ^a   Chia, N C H ^a   Macachor, J ^a   Cheng, A ^a  

^a KHOO TECK PUAT HOSPITAL   (Singapore)

Author keywords

Bariatric surgery; Difficult postoperative complications; Morbid obesity; Obstructive intubation; Sleep apnoea

Indexed keywords

ADULT; ARTICLE; ASTHMA; BARIATRIC SURGERY; COMORBIDITY; CONTROLLED STUDY; FEMALE; GASTRIC BANDING; HIGH RISK PATIENT; HUMAN; INCIDENCE; INTUBATION; MAJOR CLINICAL STUDY; MALE; MORBID OBESITY; PATIENT MONITORING; PERIOPERATIVE PERIOD; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; RISK FACTOR; SINGAPORE; SLEEP APNEA SYNDROME;

ADULT; FEMALE; FOLLOW-UP STUDIES; GASTROPLASTY; HUMANS; INTUBATION, INTRATRACHEAL; LAPAROSCOPY; MALE; OBESITY, MORBID; PERIOPERATIVE PERIOD; POLYSOMNOGRAPHY; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; RETROSPECTIVE STUDIES; RISK FACTORS; SEVERITY OF ILLNESS INDEX; SINGAPORE; SLEEP APNEA, OBSTRUCTIVE;

EID: 79958233914     PISSN: 00375675     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. James PT. Obesity: the worldwide epidemic. Clin Dermatol 2004; 22:276-80.
2. Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg 2003; 13:329-30.
3. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363:157-63.
4. Lee WJ, Wang W. Bariatric surgery: Asia-Pacific perspective. Obes Surg 2005; 15:751-7.
5. Biertho L, Steffen R, Ricklin T et al. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding: a comparative study of 1,200 cases. J Am Coll Surg 2003; 197:536-45.
6. Brodsky JB, Lemmens HJ, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg 2002; 94:732-6.
7. Siyam MA, Benhamou D. Difficult endotracheal intubation in patients with sleep apnoea syndrome. Anesth Analg 2002; 95:1098-102.
8. Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003; 97:595-600.
9. Patel N, Bagan B, Vadera S, et al. Obesity and spine surgery: relation to perioperative complications. J Neurosurg Spine 2007; 6:291-7.
10. Kyzer S, Charuzi I. Obstructive sleep apnea in the obese. World J Surg 1998; 22:998-1001.
11. Hiremath AS, Hillman DR, James AL, et al. Relationship between difficult tracheal intubation and obstructive sleep apnoea. Br J Anaesth 1998; 80:606-11.
12. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987; 42:487-90.
13. Practice guidelines for the management of the difficult airway. A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 1993; 78:597-602.
14. Butler PJ, Dhara SS. Prediction of difficult laryngoscopy: an assessment of the thyromental distance and Mallampati predictive tests. Anaesth Intensive Care 1992; 20:139-42.
15. Maltby JR, Pytka S, Watson NC, Cowan RA, Fick GH. Drinking 300 mL of clear fluid two hours before surgery has no effect on gastric volume and pH in fasting and non-fasting obese patients. Can J Anaesth 2004; 51:111-5.
16. Smith KJ, Dobranowski J, Yip G, Dauphin A, Choi PT. Cricoid pressure displaces the esophagus: a observational study using magnetic resonance imaging. Anesthesiology 2003; 99:60-4.
17. Benumof JL. Obesity, sleep apnea, the airway and anesthesia. Curr Opin Anesthesiol 2004; 17:21-30.
18. Karunakar MA, Shah SN, Jerabek S. Body mass index as a predictor of complications after operative treatment of acetabular fractures. J Bone Joint Surg Am 2005; 87:1498-502.
19. Brandt M, Harder K, Walluscheck KP, et al. Severe obesity does not adversely affect perioperative mortality and morbidity in coronary artery bypass surgery. Eur J Cardiothoracic Surg 2001; 19:662-6.
20. Pang KP. Identifying patients who need close monitoring during and after upper airway surgery for obstructive sleep apnoea. J Laryngol Otol 2006; 120:655-60.
21. Ahmad S, Nagle A, McCarthy RJ, et al. Postoperative hypoxemia in morbidly obese patients with and without obstructive sleep apnea undergoing laparoscopic bariatric surgery. Anesth Analg 2008; 107:138-43.
22. Tan CP, Chia CH, Leese T. Chest pain in the early postoperative period after laparoscopic adjustable gastric banding: four case reports. Anaesthesia 2006; 61:390-3.