It has been known for a while that malnutrition, similar to frailty, is a preoperative
risk factor for infections, anastomotic failures, and all sorts of complications.
I used to say to our residents and fellows that when a bariatric patient comes in
with severe malnutrition after a complicated primary bariatric operation (like a stricture
after sleeve or gastric bypass) or severe hypo-absorption after duodenal switch, we
have to nutritionally replenish these patients until normal parameters are reached
before attempting a revision or conversion; this is common sense. I read with interest
the article entitled “Hypoalbuminemia as a Risk Factor for Complications in Revisional/Conversional
Bariatric Surgery: an MBSAQIP Analysis” by Perez et al. [
[1]
]. In their study, after thorough review of 58,777 patients accessible for analysis,
hypoalbuminemia had a significantly greater risk of postoperative complications associated
with elective bariatric surgery, demanding blood transfusion (3.1% versus 1.27%; P < .001), 30-day readmission (10.87 versus 6.77%; P < .001), 30-day reoperation (4.9% versus 3.18%; P < .001), and 30-day mortality (.40% versus .14%; P < .0001) [
[1]
].To read this article in full you will need to make a payment
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References
Perez SC, Alessi IG, Wheeler AA. Hypoalbuminemia as a risk factor for complications in revisional/conversional bariatric surgery: an MBSAQIP analysis. Surg Obes Relat Dis. Epub 2022 Dec 9.
- The association between serum albumin and post-operative outcomes among patients undergoing common surgical procedures: an analysis of a multi-specialty surgical cohort from the National Surgical Quality Improvement Program (NSQIP).J Clin Med. 2022; 11: 6543
- Determining the optimal quantitative threshold for preoperative albumin level before elective colorectal surgery.J Gastrointest Surg. 2017; 21: 692-699
- Impact of malnutrition on outcomes following groin hernia repair: insights from the.ACS NSQIP. Surgery. 2022; 172: 1456-1462
- Determinants of susceptibility to sepsis and mortality: malnutrition vs anergy.J Surg Res. 1982; 32: 249-255
Article info
Publication history
Published online: February 11, 2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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- Hypoalbuminemia as a risk factor for complications in revisional/conversional bariatric surgery: an MBSAQIP analysisSurgery for Obesity and Related Diseases
