• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Impact of smoking on elective bariatric surgery postoperative complications: analysis of the MBSAQIP database

Jingliang Yan, MD, PhD, Brandon Williams, MD, Matthew Spann, MD, Chetan Aher, MD, Wayne English, MD. Vanderbilt University Medical Center

Introduction: Bariatric surgery is an effective means of achieving weight loss and improvement of metabolic co-morbidities. Enhancing quality and safety profile is imperative as the number of bariatric procedures increases worldwide. Smoking has been associated with increased postoperative complications after many surgical procedures. We aim to study how preoperative smoking status affects postoperative outcomes in bariatric patients using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.

Methods and Procedures: Patients in the MBSAQIP 2016 data registry undergoing elective bariatric procedures were identified and included. Odds ratio (OR) and 95% confidence interval (CI) of postoperative complications in recent smokers compared to non-smokers were calculated.

Results: A total of 184,749 patients undergoing elective bariatric surgery in 2016 were identified. Of these patients, 16,084 (8.6%) reported smoking cigarettes within 1 year prior to the bariatric operations. Length of stay was slightly longer in patients with a smoking history (1.8 vs 1.7 days). Several postoperative complication rates were increased with smoking. Unplanned re-intubation (OR=1.70, CI 1.23-2.34), Clostridium difficile infection (OR=1.64, CI 1.15-2.33), postoperative incisional hernia (OR=1.62, CI 1.02-2.55), and 30-day mortality related to the operation (OR=1.80, CI 1.02-3.18) were associated with an odds ratio of at least 1.5. In addition, intraoperative or postoperative transfusion requirement (OR=1.20, CI 1.00-1.44), unplanned ICU admission (OR=1.34, CI 1.12-1.58), 30-day reoperation (OR=1.23, CI 1.08-1.39), 30-day readmission (OR=1.16, CI 1.07-1.25), and need for intervention within 30 days (OR=1.25, CI 1.10-1.40) were associated with an odds ratio of greater than 1.

Conclusion: Prior smoking history within a year of bariatric surgery is associated with an increase in multiple postoperative complications as well as mortality. Smoking cessation therefore may improve outcomes among bariatric patients.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94143

Program Number: P058

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

54

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons