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

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • 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
    • 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
  • Meetings
    • 2022 NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • 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
    • 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
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • 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
  • Blog
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
    • All Blog Posts
  • Log In

UTILITY OF INFLAMMATORY MARKERS IN DETECTION OF PERIOPERATIVE MORBIDITY AFTER BARIATRIC PROCEDURES – MULTICENTER STUDY.

Piotr Major, MD, PhD1, Michal Wysocki, MD1, Tomasz Stefura1, Jakub Dros1, Artur Kacprzyk1, Katarzyna Chlopas1, Katarzyna Major2, Piotr Malczak1, Magdalena Pisarska1, Michal Pedziwiatr1, Andrzej Budzynski, Professor1. 12nd Department of General Surgery, Jagiellonian University Medical College, 2Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland

Introduction: We aimed to determine if there are correlations between of C-reactive protein, procalcitonin and white blood count measured in first, second and third postoperative day after bariatric surgeries and postoperative morbidity (1-month and 12-months), length of hospital stay (LOS) and hospital readmissions.

Methods and Procedures: Retrospective cohort study of patients who underwent laparoscopic sleeve gastrectomy (SG), Roux-en-Y gastric bypass (GB) or mini-gastric bypass (MGB) for morbid obesity in seven referral bariatric centers. Patients were divided into two groups: complicated group – patients with postoperative complications (in 1 month or 12 months postoperative period) and non-complicated group – patients without postoperative morbidity. Primary endpoint: to determine utility of routinely tested inflammatory markers in prognosis of perioperative (30-days) and postoperative (12-months excluding first 30-days) morbidity rates. Secondary endpoints: utility of inflammatory markers to determine risk of LOS after bariatric surgeries and readmissions.

Results: 2125 patients, 1448 females (68%) and 677 males (32%) in median age of 43 (35-52) years were included. Postoperative morbidity was 155 patients (7.29%), of who 112 cases occurred in first postoperative month and 43 cases after first postoperative month during 12-months follow-up. Sex, age, BMI and co-morbidities did not differ complicated and non-complicated cases. In complicated group LOS was significantly longer as well as readmission rate. CRP (OR: 1.02, 95%CI: 1.01-1.03), WBC (1.23, 1.15-1.32), PCT (17.18,  3.09-95.46) on POD1 used as continuous variables were significantly increasing OR for perioperative morbidity. ROC analysis indicated suggested cut-off point of CRP on POD1 indicating for risk of perioperative morbidity for 23.8 mg/L, WBC for 10×103/mm3, and PCT for 0.22 ng/mL. In case of postoperative morbidity inflammatory parameters on POD1 were not significantly related to ORs (p-values respectively: 0.713, 0.189, 0.889). CRP (OR: 1.02, 95%CI: 1.01-1.03), WBC (1.10, 1.02-1.20), PCT (4.7, 1.12-19.64) were increasing OR for prolonged LOS. ROC analysis indicated suggested cut-off point of CRP on POD1 indicating for risk of prolonged LOS for 35 mg/L, WBC for 8.9×103/mm3, PCT for 0.05 ng/mL. CRP (OR: 1.01, 95%CI: 1.00-1.03), WBC (1.21, 1.09-1.33) on POD1 were significantly increasing OR for readmissions, while PCT was not (6.67, 0.97-45.80). ROC analysis indicated suggested cut-off point of CRP on POD1 indicating for risk of readmissions for 94 mg/L, WBC for 14.5×103/mm3.

Conclusion: Even moderate increase in inflammatory parameters on POD1 should alert surgeon for possibility of increased chance for perioperative morbidity, prolonged LOS and hospital readmissions.


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

Abstract ID: 94552

Program Number: P088

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

40

Share this:

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

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

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

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons