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Background: No robust data are available on the safety of primary bariatric and metabolic surgery (BMS) alone compared to primary BMS combined with other procedures. Objectives: The objective of this study is to collect a 30-day mortality and morbidity of primary BMS combined with cholecystectomy, ventral hernia repair, or hiatal hernia repair. Setting: This is as an international, multicenter, prospective, and observational audit of patients undergoing primary BMS combined with one or more additional procedures. Methods: The audit took place from January 1 to June 30, 2022. A descriptive analysis was conducted. A propensity score matching analysis compared the BLEND study patients with those from the GENEVA cohort to obtain objective evaluation between combined procedures and primary BMS alone. Results: A total of 75 centers submitted data on 1036 patients. Sleeve gastrectomy was the most commonly primary BMS (N = 653, 63%), and hiatal hernia repair was the most commonly concomitant procedure (N = 447, 43.1%). RYGB accounted for the highest percentage (20.6%) of a 30-day morbidity, followed by SG (10.5%). More than one combined procedures had the highest morbidities among all combinations (17.1%). Out of overall 134 complications, 129 (96.2%) were Clavien-Dindo I–III, and 4 were CD V. Patients who underwent a primary bariatric surgery combined with another procedure had a pronounced increase in a 30-day complication rate compared with patients who underwent only BMS (12.7% vs. 7.1%). Conclusion: Combining BMS with another procedure increases the risk of complications, but most are minor and require no further treatment. Combined procedures with primary BMS is a viable option to consider in selected patients following multi-disciplinary discussion. Graphical Abstract: (Figure presented.)
Global 30-Day Morbidity and Mortality of Primary Bariatric Surgery Combined with Another Procedure: The BLEND Study / Martinino, A., Nanayakkara, K.D.L., Madhok, B., Wong, G.Y.M., Abouelazayem, M., Pereira, J.P.S., Wazir, I., Balasubaramaniam, V., Said, A., Marques, C., Abdelbaeth, A., Al-Shami, K., Albashari, M., Alkaseek, A., Almayouf, M.A., Aloulou, M., Alqahtan, A.R., Askari, A., Attia, M.F.A., Awad, A.K., et al.. - In: OBESITY SURGERY. - ISSN 0960-8923. - 34:11(2024), pp. 4152-4165. [10.1007/s11695-024-07296-0]
Global 30-Day Morbidity and Mortality of Primary Bariatric Surgery Combined with Another Procedure: The BLEND Study
Martinino A.;Nanayakkara K. D. L.;Madhok B.;Wong G. Y. M.;Abouelazayem M.;Pereira J. P. S.;Wazir I.;Balasubaramaniam V.;Said A.;Marques C.;Abdelbaeth A.;Al-Shami K.;Albashari M.;Alkaseek A.;Almayouf M. A.;Aloulou M.;Alqahtan A. R.;Askari A.;Attia M. F. A.;Awad A. K.;Aykota M. R.;Bacalbasa N.;Barrera-Rodriguez F. J.;Benavoli D.;Billa S.;Borrelli V.;Calikoglu I.;Campanelli M.;Carbajo M. A.;Chowdhury S.;Cristin L.;Dapri G.;Dong Z.;Elfawal M. H.;Elgazar A.;Elhadi M.;Gentileschi P.;Graham Y.;Haj B.;Johnson J. A.;Kalmoush A. -E. M.;Kamal A.;Kamocka A.;Khamees A.;Lisi G.;Hernandez E. E. L.;Marinari G. M.;Martines G.;Meric S.;Mier F.;Ali A. M.;Mohammed D.;Mohamed K. M.;Mulita F.;Musella M.;O'Malley W. E.;Olmi S.;Omarov T.;Osama O.;Perera H. R.;Piscitelli G.;Poghosyan T.;Ramirez D.;Rezvani M.;Ribeiro R.;Sabbota A.;Sakran N.;Sawaftah K. A.;Schiavone K.;Sen O.;Sotiropoulou M.;Tartaglia N.;Tokocin M.;Trotta M.;Turkcapar A. G.;Uccelli M.;Vargas C.;Verras G. I.;Wang C.;Wei Z.;Yang W.;Zerrweck C.;Owen E.;Gkoutos G. V.;Cardoso V. R.;Singhal R.;Mahawar K.;Pinto F.;Homayoon;Zuluaga M.;Zengin K.;Zayat H.;Yuksel S.;Yeoh B.;Wietzycoski C. R.;Wang H.;Waledziak M.;Voon K.;Viveiros O.;Uludag S. S.;Ulhaq M. B.;Ucar E. R.;Toro-Huamanchumo C. T.;Tidjane A.;Thapar P. M.;Tay S.;Taha S.;Sylvester K. R.;So J. B. Y.;Shariff A. H.;Shahzad A.;Shabbir A.;Shabbir A.;Sawas M. N.;Sawaftah M. A.;Sawaftah M. A.;Sarodaya V.;Santos C. S. F.;Salvi P. H.;Saleh F. S.;Ramu G.;Rajeev Y.;Pintar T.;Petkov P.;Pavone G.;Parmar C.;Paranyak M.;Ozmen M.;Ozcelik M. F.;Ouadii M.;Omari A.;Niazi M.;Neimark A.;Negoi Negoi I.;Nashidengo P. A.;Nasani M.;Nabais C.;Montes N. M.;Mousafeiris V.;Mohammed A.;Mbonicura J. C.;Masri R.;Marom G. A.;Mamidanna R.;Mahdi A. S.;Mahafdah M. R.;Magnani R.;Lincango Naranjo E. P.;Liakopulos N. J.;Lepiane P.;Lazaros L.;Kraljik D.;Di Pangrazio M.;Toti F.;Kosir J. A.;Klib M.;Kim G.;Khan S.;Kermansaravi M.;Kayyal M. Y.;Kayali A. A. H.;Kassir R.;Kasi S. K.;Kapiris S.;Inam A.;Ibrahim H.;Houssem A.;Hong J.;Hazebroek E.;Hamid H. K. S.;Haj M.;Gunawardene A.;Goodman E.;Viswanath N. G.;Gil I.;Gianchandani-Moorjani R.;Ghazal R.;Ghazal A.;Ghareeb S.;Gfely R.;Genser L.;Frattini F.;Fishman Y.;Fischer L. E.;Erginoz E.;Erdene S.;Elhafiz H.;Elghrieb A. E.;Elghadban H. M.;Duro A.;Dulac A. S.;Dogjani A.;Diaz A.;Demma J. A.;De Leon Ballesteros G. P.;Daskalakis M.;Dash A. K.;Colak E.;Chokshi A.;Chia D. K. A.;Cethorth Fonseca R. K.;Caruana C.;Cano Busnelli V. M.;Budihal B. R.;Borges N.;Boligo S. L.;Bhasker A. G.;Berardi G.;Bello U. M.;Bani Hani L. M.;Bani Hani Z. M.;Hani M. B.;Balla A.;Balescu I.;Baksi A.;Bakeer H. B.;Awadi S.;Awad A.;Assaf A.;Arraf J.;Arnaout A. Y.;Antozzi L.;Ammar A. Y.;Amaral P. F. N.;Alsheikh A. M.;Alshareea E. A.;Alrayes B. M. H.;Aloulou M.;Allawgalli A. N.;Allahverdiyeva N.;Alabdallah N. B.;Al-Taan O.;Al-Shami M.;Al-Qazakzeh H. I.;Al-Naggar H.;Al-issawi S. Z.;AL Hamoud M. A.;Ahmed F.;Adeyeye A. A.;Abouleid A.;Abou-Mrad A. K.;Abdulwahed E. A.;Abdelhamid Abdelhamid I.
2024-01-01
Abstract
Background: No robust data are available on the safety of primary bariatric and metabolic surgery (BMS) alone compared to primary BMS combined with other procedures. Objectives: The objective of this study is to collect a 30-day mortality and morbidity of primary BMS combined with cholecystectomy, ventral hernia repair, or hiatal hernia repair. Setting: This is as an international, multicenter, prospective, and observational audit of patients undergoing primary BMS combined with one or more additional procedures. Methods: The audit took place from January 1 to June 30, 2022. A descriptive analysis was conducted. A propensity score matching analysis compared the BLEND study patients with those from the GENEVA cohort to obtain objective evaluation between combined procedures and primary BMS alone. Results: A total of 75 centers submitted data on 1036 patients. Sleeve gastrectomy was the most commonly primary BMS (N = 653, 63%), and hiatal hernia repair was the most commonly concomitant procedure (N = 447, 43.1%). RYGB accounted for the highest percentage (20.6%) of a 30-day morbidity, followed by SG (10.5%). More than one combined procedures had the highest morbidities among all combinations (17.1%). Out of overall 134 complications, 129 (96.2%) were Clavien-Dindo I–III, and 4 were CD V. Patients who underwent a primary bariatric surgery combined with another procedure had a pronounced increase in a 30-day complication rate compared with patients who underwent only BMS (12.7% vs. 7.1%). Conclusion: Combining BMS with another procedure increases the risk of complications, but most are minor and require no further treatment. Combined procedures with primary BMS is a viable option to consider in selected patients following multi-disciplinary discussion. Graphical Abstract: (Figure presented.)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/175576
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
