Home
Newsletter
Events
Blogs
Reports
Graphics
RSS
About Us
Support
Write for Us
Media Info
Advertising Info
Health news

Fitness level affects bariatric surgery outcomes (press release)

Wednesday, October 04, 2006 by: NewsTarget
Tags: health news, Natural News, nutrition


Most Viewed Articles
https://www.naturalnews.com/020640_surgery_fitness_bariatric.html
Delicious
diaspora
Print
Email
Share

Morbidly obese patients with poor cardiopulmonary fitness may experience increased complications after bariatric surgery. New research published in the August issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians (ACCP), shows that bariatric surgery patients with low cardiopulmonary fitness levels experienced longer operative times and suffered more postsurgery complications than patients with higher fitness levels. Bariatric surgery, a procedure that involves surgically shrinking the stomach in order to limit food intake, is associated with sustained weight reduction in the morbidly obese.

"Random complications may occur during bariatric surgery," said Peter A. McCullough, MD, MPH, William Beaumont Hospital, Royal Oak, MI. "However, complications may become more apparent in patients with low levels of cardiopulmonary fitness, because they have very little pulmonary reserve and have reduced ability to withstand surgery."

Dr. McCullough and colleagues evaluated the relationship between cardiopulmonary fitness and other clinical variables and postoperative complications after bariatric surgery. Included in the study were 109 morbidly obese patients (75.2 percent women) with a mean body mass index (BMI) of 48.7 ± 7.2. Patients were divided into tertiles, with the first tertile having the highest BMI and lowest cardiopulmonary fitness and the third tertile had the lowest BMI and highest cardiopulmonary fitness.

All patients underwent bariatric surgery (laparoscopic Roux-en-Y gastric bypass surgery), and outcomes were organized into intermediate (operative and reversible), primary (permanent or potential organ damage), and secondary (length of stay and readmission). Overall, patients in the first tertile were seven times more likely to experience primary complications than patients in the next two tertiles. In the first tertile, 16.6 percent of patients experienced primary complications, including death, unstable angina, deep vein thrombosis, pulmonary embolism, renal failure, and/or stroke, compared with 2.8 percent of patients in the second and third tertiles. Operative times were 24.8 minutes longer in the first tertile, compared with the third. In addition, hospital lengths of stay and 30-day readmission rates were highest in the first group, as were intubation duration and estimated blood loss. Patients in the first tertile were more likely to be women, smokers, older, non-Caucasian, and have diabetes and hypertension.

"Morbid obesity is associated with numerous health risks, including cardiovascular disease, respiratory conditions, diabetes, sleep apnea, and an increased rate of death. Bariatric surgery has been shown to reduce comorbidities and long-term mortality in morbidly obese patients," said Dr. McCullough. "The benefits of bariatric surgery clearly outweigh the risks."

To minimize postoperative complications associated with bariatric surgery, researchers recommend measuring cardiopulmonary fitness prior to surgery. For patients with low cardiopulmonary fitness levels, a combination of medical weight loss and physical conditioning is recommended prior to bariatric surgery in order to increase preoperative fitness levels to an acceptable level.

"Physicians and other health-care providers should educate obese patients on current options for healthy and permanent weight loss in order to minimize long-term health complications," said W. Michael Alberts, MD, FCCP, President of the American College of Chest Physicians.

Contact: Jennifer Stawarz 847-498-8306 American College of Chest Physicians


Receive Our Free Email Newsletter

Get independent news alerts on natural cures, food lab tests, cannabis medicine, science, robotics, drones, privacy and more.


comments powered by Disqus



Natural News Wire (Sponsored Content)

Science.News
Science News & Studies
Medicine.News
Medicine News and Information
Food.News
Food News & Studies
Health.News
Health News & Studies
Herbs.News
Herbs News & Information
Pollution.News
Pollution News & Studies
Cancer.News
Cancer News & Studies
Climate.News
Climate News & Studies
Survival.News
Survival News & Information
Gear.News
Gear News & Information
Glitch.News
News covering technology, stocks, hackers, and more