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강성일; 한상문; 김원우; 이경포; 이경식

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자료유형: 학술저널

저자정보: 강성일 (포천중문의과대학교) 한상문 (포천중문의과대학교) 김원우 (포천중문의과대학교) 이경포 (포천중문의과대학교) 이경식 (포천중문의과대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.74 No.5

발행연도: 2008.5

수록면: 347 - 351 (5page)

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연구방법

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Purpose: The significant drastic complications of performing laparoscopic sleeve gastrectomy (LSG) in morbidly obese patients are gastric staple line leakage and bleeding. The aim of our study is to evaluate the efficacy of the clinical data for detecting postoperative complications after LSG.
Methods: The study enrolled 150 consecutive patients who underwent LSG from January 2003 to July 2006. When abnormal data (heart rate ≥110/min, or temperature ≥37.5℃) was detected on postoperative day 1, then laboratory tests (blood, urine, chest X-ray and abdominal sonogram) and water soluble gastrografin UGIS were performed to detect the postoperative complications after LSG (group A). The patients who had normal postoperative clinical data (group B) were compared with group A.
Results: Of the 150 patients who underwent LSG, 9 patients (6%) had postoperative complications. Two patients had major complications: 1 case of leakage (0.6%) and 1 case of delayed bleeding (0.6%), and 4 patients had minor complications in group A. But no major complications were detected in group B (P＜0.01). The heart rate and body temperature in group A were significantly faster and higher than those in group B (P＜0.01). Especially, 2 patients who had major complications had severe tachycardia over 120 beats per minute (bpm). However, when the body temperature of a patient was elevated, there was no high grade fever in all the cases (＞39℃).
Conclusion: Evidence of tachycardia or a high body temperature may be useful to detect major complications after LSG. We also recommend performing laboratory test and UGIS when clinically indicated.

#Laparoscopic sleeve gastrectomy #Morbid obesity #Complications #Tachycardia #Fever

참고문헌 (21)

참고문헌 신청

Christou NV , 2004 , Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients , Ann Surg 240 : 416 ~ 423

Nguyen NT , 2001 , Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs , Ann Surg 234 : 279 ~ 289

WHO Regional Office for the Western Pacific, International Association for the Study of Obesity, International Obesity Task Force , 2000 , The Asia-Pacific perspective: redefining obesity and its treatment. Sydney, Health Communications Australia

Livingstone EH , 2002 , Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery , Ann Surg 236 : 576 ~ 582

Fernandez AZ , 2004 , Multivariate analysis of risk factors for death following gastric bypass for treatment of morbid obesity , Ann Surg 239 : 698 ~ 703

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