Navigation Links
Obesity Surgery Complication Rates Higher than Previously Thought

Four of every 10 obesity surgery patients develop a complication, such as a hernia, within 6 months of leaving the hospital, according to a new study by HHS’ Agency// for Healthcare Research and Quality. The study is the most extensive to date on post-surgical complications from obesity operations based on insurance claims data.

The researchers found that the complication rate among non-elderly obesity surgery patients with private insurance increased by 81 percent following hospital discharge – from 21.9 percent while they were still hospitalized to 39.6 percent by the end of the 180-day study period.

“Obesity surgery is helping thousands of Americans who have not succeeded at losing weight reduce their risk of diabetes and other life-threatening diseases, but this study shows how important it is for patients to consider the potential complications when they make the decision to undergo the procedure,” said AHRQ Director Carolyn M. Clancy, M.D. “The study also should give clinicians information that will help them make improvements in the procedure and post-surgical care.”

The five most common complications were dumping syndrome, which includes vomiting, reflux, and diarrhea (nearly 20 percent); anastomosis complications (complications resulting from the surgical joining of the intestine and stomach), such as leaks or strictures (12 percent); abdominal hernias (7 percent); infections (6 percent); and pneumonia (4 percent). The overall death rate for entire the 180-day postoperative period studied was low – 0.2 percent.

Complications from obesity surgery also increased costs. Medical care spending averaged $36,542 for obesity surgery patients who experienced a complication up to 180 days after surgery, including their initial hospital stay; spending for patients without complications averaged $25,337. In addition, medical care spending for patients who had to be readmitted because of a complication during the 180-day period averaged $65,031 compared with $27,125 for those who did not have to be hospitalized again.

Most studies of complications from obesity surgery, also known as bariatric or weight-loss surgery, have been limited to those that occur before hospital discharge or at the most, up to 30 days post-discharge. As noted, the new study extends the observation period up to 180 days – 6 months – after hospital discharge.

AHRQ’s William Encinosa, Ph.D., Didem Bernard, Ph.D., and Claudia Steiner, M.D., M.P.H., also analyzed differences between 30-day and 180-day post-operative complication rates. They found that 10.8 percent of patients who had not experienced a complication within 30 days did so in the following 150 days. The four types of complications that increased the most during this period were anastomosis complications (such as intestinal leaks), marginal ulcers, abdominal hernia, and dumping.

During this same 30-day versus 180-day period, the proportion of patients who had to be readmitted to hospitals with complications increased by 50 percent – from 4.8 percent to 7.2 percent.

The researchers also studied 44 types of conditions that can occur in patients following major surgery, regardless of the type of operation, such as complications of surgical procedure, intestinal obstruction, gastrointestinal disorders, abdominal pain, chest pain, and nutritional disorders. Readmissions of post-obesity surgery patients for these conditions increased from 6.5 percent to 10.6 percent between 30 and 180 days.

In addition, the study team analyzed visits to emergency rooms and office doctors by obesity surgery patients for the 12 types of complications specific to obesity surgery and for the 44 general post-operative conditions, differences in complication rates for banding and gastroplasty versus gastric bypass surgery, and differences by age groups.

(Source: ewswise)
'"/>




Related medicine news :

1. Lean Protein Could Be Key to Obesity Drugs
2. Obesity raises IVF miscarriage risk
3. Obesity a risk for pancreatic cancer
4. Obesity shortens lifespan
5. Is Obesity a risk factor?
6. Obesity a global problem
7. Obesity increases health costs
8. Obesity in children a risk factor for diabetes
9. Decrease of Hunger Hormone after Obesity Surgery
10. Obesity risk for immobilized adults
11. Obesity risk can be reduced by eating breakfast regularly
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/19/2017)... ... January 19, 2017 , ... Huntington Beach dental office ... apnea and TMJ disorders. These conditions are quite common particularly in midlife and ... care to reduce the risk of these consequences and improve overall wellbeing. ...
(Date:1/19/2017)... ... , ... Sam & Associates Insurance Agency, a full service firm providing asset ... Bay Area, is launching a charity drive to raise awareness of heart disease risk ... primary killer of adult men and women in America, and is responsible for over ...
(Date:1/19/2017)... ... January 19, 2017 , ... St. Catherine’s Village announced that a ... is a skilled nursing facility on the grounds of the St. Catherine’s Village campus ... was voted the best nursing home in Mississippi for the second year in a ...
(Date:1/19/2017)... ... January 18, 2017 , ... The CHP suggests that California ... rain storm by slowing down and increasing the space between themselves and other vehicles, ... based car accident attorney Raymond R. Hassanlou notes that, rain or shine, drivers should ...
(Date:1/19/2017)... ... January 19, 2017 , ... Sales Focus Inc. (SFI), a Maryland-based sales outsourcing ... , Over the past 20 years SFI has been recognized as the world’s leader ... new clients into the US market. The new clients include: Panacea Pro, Campseekers, ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... , Jan. 19, 2017 Many patients don,t ... their medication when a pharmacy just a few blocks ...  To alleviate this problem Medicationdiscountcard.com has created ... see exactly how much their medication will cost at ... Easy Medicationdiscountcard.com takes ...
(Date:1/19/2017)... , Jan. 19, 2017 Accuray Incorporated (Nasdaq: ... and TomoTherapy® Systems continue to set the bar for ... highest composite overall user satisfaction rating among radiation treatment ... 2016 MD Buyline Market Intelligence Briefing™. The most recent ... composite ratings among industry peers for 11 of the ...
(Date:1/19/2017)... 2017 ViewRay, Inc. (Nasdaq: VRAY) announced today that ... research in Germany , has purchased ... the University Clinic Heidelberg as part of its initiative ... program will be headed by Medical Director and Professor ... at the German Cancer Research Center (DKFZ), the Heidelberg ...
Breaking Medicine Technology: