Does noninvasive positive pressure ventilation (NIPPV) used in the immediate postoperative
period after bariatric surgery increase the risk of anastomotic or staple line dehiscence?
This has been a longstanding concern for use of NIPPV, including continuous positive
airway pressure (CPAP) and bilevel positive airway pressure in the immediate postoperative
period after Roux-en-Y gastric bypass surgery (RYGB).
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References
Tong S, Gower J, Morgan A, Gadbois K, Wisbach G. Non-invasive positive pressure ventilation in the immediate post-bariatric surgery care of patients with obstructive sleep apnea. Surg Obes Relat Dis. Epub 2017 Feb 20.
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Article info
Publication history
Published online: March 24, 2017
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© 2017 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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- Noninvasive positive pressure ventilation in the immediate post–bariatric surgery care of patients with obstructive sleep apnea: a systematic reviewSurgery for Obesity and Related DiseasesVol. 13Issue 7
- PreviewObstructive sleep apnea is common in morbidly obese patients, and noninvasive positive pressure ventilation (NIPPV) is the standard treatment. Postoperatively, NIPPV is highly effective in preventing hypoxia and apneic episodes; however, the concern of gastric distention leading to increased risk of an anastomotic dehiscence limits universal acceptance.
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