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Factors affecting bleeding in bariatric surgery

Published:August 04, 2022DOI:https://doi.org/10.1016/j.soard.2022.07.011
      I read with interest the article “Risk factors for postoperative bleeding in bariatric surgery,” by Straatman et al. [
      • Straatman J.
      • Verhaak T.
      • Demirkiran A.
      • Harlaar N.J.
      • Cense H.A.
      • Jonker F.H.W.
      Dutch Audit for Treatment of Obesity (DATO) Research Group. Risk factors for postoperative bleeding in bariatric surgery.
      ]. The authors tried to develop a prediction model to identify patients at risk for postoperative bleeding in bariatric surgery. They analyzed 32 possible predictors in the results of 59,055 patients registered in the Dutch Audit for Treatment of Obesity database. They found postoperative bleeding occurred in 1.5% of patients with one or more of the following risk factors: male sex, >45 years of age, body mass index <40 kg/m2, cardiovascular disease, and current procedure of sleeve gastrectomy. They stated that the risk of postoperative bleeding in bariatric surgery increased with 3 or more risk factors. I congratulate the authors on this well-written article, but I believe that additional data would be beneficial to patient management.
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      References

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        Surgery for Obesity and Related DiseasesVol. 18Issue 11
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          We thank Dr. Coskun for his interesting comments [1] regarding our study about risk factors for bleeding after bariatric surgery. The strength of our study using the Dutch Audit for Treatment of Obesity (DATO) registry is that it represents an enormous study cohort, enabling adequate multivariable regression analysis and development of a prediction model [2]. This has resulted in the largest research study about bleeding after bariatric surgery to date.
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