Cited by 1,392Bariatric Surgery and OutcomesBody Contouring and SurgeryCardiac, Anesthesia and Surgical Outcomes

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Perioperative Safety in the Longitudinal Assessment of Bariatric Surgery

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The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium·2009·New England Journal of Medicine

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Abstract

BACKGROUND: To improve decision making in the treatment of extreme obesity, the risks of bariatric surgical procedures require further characterization. METHODS: We performed a prospective, multicenter, observational study of 30-day outcomes in consecutive patients undergoing bariatric surgical procedures at 10 clinical sites in the United States from 2005 through 2007. A composite end point of 30-day major adverse outcomes (including death; venous thromboembolism; percutaneous, endoscopic, or operative reintervention; and failure to be discharged from the hospital) was evaluated among patients undergoing first-time bariatric surgery. RESULTS: There were 4776 patients who had a first-time bariatric procedure (mean age, 44.5 years; 21.1% men; 10.9% nonwhite; median body-mass index [the weight in kilograms divided by the square of the height in meters], 46.5). More than half had at least two coexisting conditions. A Roux-en-Y gastric bypass was performed in 3412 patients (with 87.2% of the procedures performed laparoscopically), and laparoscopic adjustable gastric banding was performed in 1198 patients; 166 patients underwent other procedures and were not included in the analysis. The 30-day rate of death among patients who underwent a Roux-en-Y gastric bypass or laparoscopic adjustable gastric banding was 0.3%; a total of 4.3% of patients had at least one major adverse outcome. A history of deep-vein thrombosis or pulmonary embolus, a diagnosis of obstructive sleep apnea, and impaired functional status were each independently associated with an increased risk of the composite end point. Extreme values of body-mass index were significantly associated with an increased risk of the composite end point, whereas age, sex, race, ethnic group, and other coexisting conditions were not. CONCLUSIONS: The overall risk of death and other adverse outcomes after bariatric surgery was low and varied considerably according to patient characteristics. In helping patients make appropriate choices, short-term safety should be considered in conjunction with both the long-term effects of bariatric surgery and the risks associated with being extremely obese. (ClinicalTrials.gov number, NCT00433810.)

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Bariatric Surgery: A Systematic Review and Meta-analysis
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Early Mortality Among Medicare Beneficiaries Undergoing Bariatric Surgical Procedures
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Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass
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Validation of the Obesity Surgery Mortality Risk Score in a Multicenter Study Proves It Stratifies Mortality Risk in Patients Undergoing Gastric Bypass for Morbid Obesity
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The Great Debate: Medicine or Surgery
Lautz, D. B., Halperin, F., GOEBEL-FABBRI, A. E., & Goldfine, A. B. (2011) · Diabetes Care · doi:10.2337/dc10-1859 · Cited by 28
Bariatric surgery and cardiovascular outcome
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Revision of Roux-en-Y Gastric Bypass for Inadequate Weight Loss or Weight Regain
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Care of the Patient After Metabolic and Bariatric Surgery
Bramante, C., Wise, E., & Chaudhry, Z. (2022) · Annals of Internal Medicine · doi:10.7326/aitc202205170 · Cited by 28
Moving toward targeted eating disorder care for transgender, non‐binary, and gender expansive patients in the United States
Goetz, T. G., & Wolk, C. B. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24055 · Cited by 34
Bariatric Surgery in Patients with Dialysis-Dependent Renal Failure
Mozer, A. B., Pender, J. R., Chapman, W. H. H., Sippey, M. E., Pories, W. J., & Spaniolas, K. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1656-0 · Cited by 28
“have been proven to be safe and effective for sustainable weight loss and control of obesity-related disease in the general population [5, 6].”
Background
The long‐term effect of bariatric/metabolic surgery versus pharmacologic therapy in type 2 diabetes mellitus patients: A systematic review and meta‐analysis
Yang, Y., Miao, C., Wang, Y., He, J., & Bo, Y. (2024) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3830 · Cited by 29
“19”
Influential
Difficulties in managing the surgical patient who is morbidly obese
King, D. R., & Velmahos, G. C. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181ec54f6 · Cited by 27
Improving Outcome of Bariatric Surgery: Best Practices in an Accredited Surgical Center
Chaar, M. E., Claros, L., Ezeji, G., Miletics, M., & Stoltzfus, J. C. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1209-y · Cited by 27
“this type of procedure is performed on an outpatient basis in most certain centers and was therefore excluded from our analysis [7].”
Differences in Weight Loss and Gut Hormones: Rouen-Y Gastric Bypass and Sleeve Gastrectomy Surgery
Malin, S. K., & Kashyap, S. R. (2015) · Current Obesity Reports · doi:10.1007/s13679-015-0151-1 · Cited by 28
EARLY COMPLICATIONS IN BARIATRIC SURGERY:
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Surgery-related gastrointestinal symptoms in a prospective study of bariatric surgery patients: 3-year follow-up
Kalarchian, M. A., King, W. C., Devlin, M. J., White, G. E., Marcus, M. D., Garcia, L., Yanovski, S. Z., & Mitchell, J. E. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.03.028 · Cited by 27
Racial disparities in perioperative outcomes after metabolic and bariatric surgery: a case-control matched study
Edwards, M. A., Bruff, A., Mazzei, M. M., Lu, X., & Zhao, H. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2020.04.035 · Cited by 27
Bariatric surgery and nonalcoholic fatty liver disease
Bower, G., Athanasiou, T., Isla, A., Harling, L., Li, J. V., Holmes, E. C., Efthimiou, E., Darzi, A. W., & Ashrafian, H. (2015) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000000375 · Cited by 27
Obesity Surgery Mortality Risk Score for the Prediction of Complications After Laparoscopic Bariatric Surgery
Lorente-Poch, L., Ramón, J. M., Vidal, P., Goday, A., Parri, A., Enrique Lanzarini, S., Pera, M., & Grande, L. (2014) · Cirugía Española (English Edition) · doi:10.1016/j.cireng.2013.09.026 · Cited by 26
“The ﬁrst proposal was by DeMaria et al. 3 in 2007, which was initially limited to estimating the mortality rate and was validated in this area by the author himself 4 and others 5,6 and then was extended to predicting morbidity in 2011 by Sarela et al. 7 Other proposals have followed Flum et al. 18 based on the result…”
IV Acetaminophen Results in Lower Hospital Costs and Emergency Room Visits Following Bariatric Surgery: a Double-Blind, Prospective, Randomized Trial in a Single Accredited Bariatric Center
Chaar, M. E., Stoltzfus, J. C., Claros, L., & Wasylik, T. (2016) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-016-3088-0 · Cited by 26
“Our study’s favorable outcomes occurred despite our exclusion of adjustable gastric band patients, as this procedure is usually associated with lower complication and mortality rates.(26) Therefore, we believe that incorporating IV acetaminophen into the perioperative management of bariatric patients, using a clinical…”
Background
Complications of bariatric surgery in adolescents
Lamoshi, A., Chernoguz, A., Harmon, C. M., & Helmrath, M. A. (2020) · Seminars in Pediatric Surgery · doi:10.1016/j.sempedsurg.2020.150888 · Cited by 29
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A population-based, shared decision-making approach to recruit for a randomized trial of bariatric surgery versus lifestyle for type 2 diabetes
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“, surgical and behavioral [10,11]), although it has become easier as the safety profile of surgery has improved [12,13].”
Laparoscopic Adjustable Gastric Banding In Patients with Unexpected Cirrhosis: Safety and Outcomes
Woodford, R. M., Burton, P. R., O’Brien, P. E., Laurie, C., & Brown, W. A. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1623-9 · Cited by 26
“The data currently available relates only to Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy.”
The coming of age of metabolic surgery
Rubino, F., & Cummings, D. E. (2012) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2012.207 · Cited by 27
Metabolic surgery for type 2 diabetes
Ahn, S. M., Pomp, A., & Rubino, F. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2011.05984.x · Cited by 25
Pre-Operative and Early Post-Operative Factors Associated with Surgical Site Infection after Laparoscopic Sleeve Gastrectomy
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Five-Year Weight Loss Experience of Outpatients Receiving Laparoscopic Adjustable Gastric Band Surgery
Cobourn, C. S., Chapman, M. A., Ali, A. C. Y., & Amrhein, J. (2013) · Obesity Surgery · doi:10.1007/s11695-013-0881-7 · Cited by 25
“[2, 5–7] LAGB can be routinely performed in an outpatient setting due to the predictable and reproducible nature of the laparoscopic procedure.”
Background
Medical Malpractice in Bariatric Surgery: a Review of 140 Medicolegal Claims
Choudhry, A. J., Haddad, N. N., Martin, M. J., Thiels, C. A., Habermann, E. B., & Zielinski, M. D. (2016) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-016-3273-1 · Cited by 25
The beneficial effect of weight reduction on adverse cardiovascular outcomes following bariatric surgery is attenuated in patients with obstructive sleep apnea
Dalmar, A., Singh, M., Pandey, B., Stoming, C., Heis, Z., Ammar, K. A., Jan, M. F., Choudhuri, I., Chua, T. Y., Sra, J. S., et al. (2018) · SLEEP · doi:10.1093/sleep/zsy028 · Cited by 25
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Reporting weight change: standardized reporting accounting for baseline weight
Belle, S. H., Berk, P. D., Courcoulas, A. P., Engel, S. G., Flum, D. R., GOURASH, W. F., Horlick, M., Hsu, J. Y., Khandelwal, S., Mitchell, J. E., et al. (2012) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2012.11.006 · Cited by 25
Tracheotomy Outcomes in Super Obese Patients
Marshall, R. V., Haas, P. J., Schweinfurth, J. M., & Replogle, W. H. (2016) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2016.1089 · Cited by 25
Perioperative Risks of Untreated Obstructive Sleep Apnea in the Bariatric Surgery Patient: a Retrospective Study
Kong, W. T., Chopra, S., Kopf, M., Morales, C., Khan, S., Zuccala, K., Choi, L., & Chronakos, J. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2203-3 · Cited by 24
Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years
Praveenraj, P., Gomes, R., Kumar, S. S., Perumal, S., Senthilnathan, P., Parthasarathi, R., Rajapandian, S., & Palanivelu, C. (2016) · Journal of Minimal Access Surgery · doi:10.4103/0972-9941.183481 · Cited by 25
Perioperative thromboprophylaxis in severely obese patients undergoing bariatric surgery: insights from a French national survey
Moulin, P., Dutour, A., Ancel, P., Morange, P., Bège, T., Ziegler, O., Berdah, S. V., Frère, C., & Gaborit, B. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.08.497 · Cited by 25
Patients’ preferences for information in bariatric surgery
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Bariatric Surgery and End-Stage Organ Failure
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Endoscopic trans-oral outlet reduction after bariatric surgery is safe and effective for dumping syndrome
Reicher, R., Shnell, M., Aviv, C. N., & Fishman, S. (2021) · Surgical Endoscopy · doi:10.1007/s00464-020-08190-3 · Cited by 25
Management of gastrointestinal bleeding following bariatric surgery
Giannopoulos, S., Pokala, B., & Stefanidis, D. (2022) · Mini-invasive Surgery · doi:10.20517/2574-1225.2021.135 · Cited by 24
Mortality rate after open Roux-in-Y gastric bypass: a 10-year follow-up
Kelles, S. M. B., Diniz, M. F. H. S., Machado, C. J., & Barreto, S. M. (2014) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x20143578 · Cited by 24
Risk Stratification Models: How Well do They Predict Adverse Outcomes in a Large Dutch Bariatric Cohort?
Geubbels, N., de Brauw, L. M., Acherman, Y. I. Z., van de Laar, A. W. J. M., & Bruin, S. C. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1699-2 · Cited by 24
Midterm outcomes of gastric bypass for elderly (aged≥60 yr) patients: a comparative study
Thereaux, J., Poitou, C., Barsamian, C., Oppert, J., Czernichow, S., & Bouillot, J. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.10.022 · Cited by 24
“failed to find age as a risk factor in a large cohort of patients undergoing bariatric surgery [30].”
BackgroundResult
COMPLICATIONS REQUIRING HOSPITAL MANAGEMENT AFTER BARIATRIC SURGERY
WRZESINSKI, A., CORRÊA, J. M., Fernandes, T. M. B., Monteiro, L. F., Schuelter‐Trevisol, F., & do Nascimento, R. R. (2015) · ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) · doi:10.1590/s0102-6720201500s100003 · Cited by 24
Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass: a 36-case series
Lakis, M. A. E., Pozzi, A., Chamieh, J., & Safadi, B. Y. (2016) · Surgical Endoscopy · doi:10.1007/s00464-016-5078-4 · Cited by 24
Severe Chronic Kidney Disease Is Associated with a Lower Efficiency of Bariatric Surgery
Hansel, B., Arapis, K., Kadouch, D., Ledoux, S., Coupaye, M., Msika, S., Vrtovsnik, F., Marre, M., Boutten, A., Gatta‐Cherifi, B., et al. (2019) · Obesity Surgery · doi:10.1007/s11695-019-03703-z · Cited by 24
“But Then I Learned…”: Weight loss surgery patients negotiate surgery discourses
Drew, P. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.07.023 · Cited by 28
LAP-BAND for BMI 30–40: 5-year health outcomes from the multicenter pivotal study
Dixon, J. B., Eaton, L. L., Vincent, V., Michaelson, R., & for the LAP-BAND Lower BMI Study Group (2015) · International Journal of Obesity · doi:10.1038/ijo.2015.156 · Cited by 24
Regional Variations in the Public Delivery of Bariatric Surgery
Doumouras, A. G., Saleh, F., Gmora, S. B., Anvari, M., & Hong, D. (2015) · Annals of Surgery · doi:10.1097/sla.0000000000001129 · Cited by 23
“In our study, this led to an underestimation of comorbidity burden compared to specific, prospective databases used in other studies.(11,12)”
Result
Utilidad de la escala Obesity surgery mortality risk score en la predicción de complicaciones tras cirugía bariátrica por vía laparoscópica
Lorente-Poch, L., Ramón, J. M., Vidal, P., Goday, A., Parri, A., Enrique Lanzarini, S., Pera, M., & Grande, L. (2013) · Cirugía Española · doi:10.1016/j.ciresp.2013.09.014 · Cited by 23
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Management of Bariatric Complications Using Endoscopic Stents: a Multi-Center Study
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Endoscopic management of post-surgical GI wall defects with the overstitch endosuturing system: a single-center experience
Granata, A., Amata, M., Ligresti, D., Martino, A., Tarantino, I., Barresi, L., & Traina, M. (2019) · Surgical Endoscopy · doi:10.1007/s00464-019-07145-7 · Cited by 23
Examination of Elective Bariatric Surgery Rates Before and After US Affordable Care Act Medicaid Expansion
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Risk Factors for Early and Late Complications after Laparoscopic Sleeve Gastrectomy in One-Year Observation
Głuszyńska, P., Diemieszczyk, I., Szczerbiński, Ł., Kretowski, A. J., Major, P., & Hady, H. R. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11020436 · Cited by 23
Metabolic Syndrome Prevalence and Associations in a Bariatric Surgery Cohort from the Longitudinal Assessment of Bariatric Surgery-2 Study
Purnell, J. Q., Selzer, F., Smith, M. D., Berk, P. D., Courcoulas, A. P., Inabnet, W. B., King, W. C., Pender, J. R., Pomp, A., Raum, W. J., et al. (2013) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2013.0116 · Cited by 23
“A composite 30-day end point was defined as death, postbariatric surgical operations, or unplanned postdischarge anticoagulation therapy for suspected venous thromboembolism and failure to be discharged after 30-days postsurgery.(19)”
BackgroundMethodInfluential
Are Results of Bariatric Surgery Different in the Middle East? Early Experience of an International Bariatric Surgery Program and an ACS NSQIP Outcomes Comparison
Nimeri, A. A., Mohamed, A., Hassan, E. E., McKenna, K. L., Turrin, N. P., Hadad, M. A., & Dehni, N. (2013) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2013.01.063 · Cited by 23
A Randomized Clinical Trial Comparing the Effectiveness of Ultrasound Guidance Versus Nerve Stimulation for Lateral Popliteal‐Sciatic Nerve Blocks in Obese Patients
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Overview of bariatric surgery for the physician
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Feasibility and Impact of an Evidence-Based Program for Gastric Bypass Surgery
Petrick, A. T., Still, C. D., Wood, C. G., Vitunac, M. A., Plank, M., McGrail, L., Strodel, W. E., Gabrielsen, J. D., Rogers, J., & Benotti, P. N. (2015) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2015.01.040 · Cited by 23
Is Laparoscopic Bariatric Surgery a Safe Option in Extremely High-Risk Morbidly Obese Patients?
Aminian, A., Jamal, M. H., Andalib, A., Batayyah, E., Romero‐Talamás, H., Chand, B., Schauer, P. R., & Brethauer, S. A. (2015) · Journal of Laparoendoscopic & Advanced Surgical Techniques · doi:10.1089/lap.2015.0013 · Cited by 23
“7,8 The center-dependent comparison of surgical outcomes has also been made in several population-level studies.”
Influential
Bariatric Surgery
Azagury, D. E., & Morton, J. M. (2016) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/j.ecl.2016.04.013 · Cited by 23
Bariatric Surgery Resistance: Using Preoperative Lifestyle Medicine and/or Pharmacology for Metabolic Responsiveness
Gilbertson, N. M., Paisley, A. S., Kranz, S., WELTMAN, A. L., Kirby, J. L., Hallowell, P. T., & Malin, S. K. (2017) · Obesity Surgery · doi:10.1007/s11695-017-2966-1 · Cited by 24
Weight loss achieved by bariatric surgery modifies high-density lipoprotein subfractions and low-density lipoprotein oxidation towards atheroprotection
Coimbra, S., Reis, F., Ferreira, C., Nunes, S., Viana, S., Catarino, A., Rocha‐Pereira, P., Belo, L., Monteiro, L., Catarino, C., et al. (2018) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2018.10.007 · Cited by 22
Prevalence of obstructive sleep apnea in an Asian bariatric population: an underdiagnosed dilemma
Loo, G. H., Rajan, R., Tamil, A. M., & Kosai, N. R. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2020.02.003 · Cited by 25
Chirurgie de l’obésité et ses complications
Ciangura, C., & Corigliano, N. (2012) · La Revue de Médecine Interne · doi:10.1016/j.revmed.2011.12.008 · Cited by 23
Surgical treatment of type 2 diabetes: the surgeon perspective
Shukla, A. P., Ahn, S. M., Patel, R. T., Rosenbaum, M. W., & Rubino, F. (2011) · Endocrine · doi:10.1007/s12020-011-9508-8 · Cited by 21
Is glycosylated hemoglobin A1 c associated with increased risk for severe early postoperative complications in nondiabetics after laparoscopic gastric bypass?
Stenberg, E., Szabó, É., & Näslund, I. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.05.005 · Cited by 22
Ethnic Considerations for Metabolic Surgery
Morton, J. M. (2016) · Diabetes Care · doi:10.2337/dc16-0413 · Cited by 22
Comparison of Short and Long Term Cardiovascular Outcomes After Bariatric Surgery in Patients With vs Without Coronary Artery Disease
Pirlet, C., Biertho, L. D., Poirier, P., Marceau, S., Marceau, P., Biron, S., Hould, F., Lebel, S., Lescelleur, O., Julien, F., et al. (2019) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2019.09.041 · Cited by 23
Psychotropic Medications in Metabolic and Bariatric Surgery: Research Updates and Clinical Considerations
Coughlin, J. W., Steffen, K. J., Sockalingam, S., & Mitchell, J. E. (2022) · Current Psychiatry Reports · doi:10.1007/s11920-022-01317-4 · Cited by 23
Gastrointestinal Surgery: Cardiovascular Risk Reduction and Improved Long-Term Survival in Patients with Obesity and Diabetes
Adams, T. D., Davidson, L. E., Litwin, S. E., & Hunt, S. C. (2012) · Current Atherosclerosis Reports · doi:10.1007/s11883-012-0286-4 · Cited by 21
Endobarrier as a Pre Bariatric Surgical Intervention in High-Risk Patients: a Feasibility Study
Younus, H., Chakravartty, S., Sarma, D. R., & Patel, A. G. (2018) · Obesity Surgery · doi:10.1007/s11695-018-3322-9 · Cited by 22
“Impaired functional status has also been known as a factor for post-operative morbidity or mortality [35].”
Background
Changes in Smoking Behavior Before and After Gastric Bypass
King, W. C., White, G. E., Belle, S. H., Yanovski, S. Z., Pomp, A., Pories, W. J., Wolfe, B. M., Ahmed, B., & Courcoulas, A. P. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000003828 · Cited by 22
“Smoking prevalence 1 year before surgery (ie, 14%) in the current LABS-2 RYGB sample matches the past-year smoking prevalence reported among 4775 consecutive pre-surgical patients in the LABS-1 study.(30) Thus, both the LABS-1 and LABS-2 studies indicate smoking is slightly less common among adults the year before bar…”
Result
Successful Endoscopic Management of Gastrointestinal Leakages after Laparoscopic Roux-en-Y Gastric Bypass Surgery
Schiesser, M., Kressig, P., Bueter, M., Nocito, A., Bauerfeind, P., & Gubler, C. (2014) · Digestive Surgery · doi:10.1159/000358849 · Cited by 22
Adjustable gastric banding, sleeve gastrectomy or gastric bypass. Can evidence-based medicine help us to choose?
Caiazzo, R. J., & Pattou, F. N. (2013) · Journal of Visceral Surgery · doi:10.1016/j.jviscsurg.2013.03.011 · Cited by 21
Strategies for Weight Reduction Prior to Total Joint Arthroplasty
Chen, M. J., Bhowmick, S., Beseler, L., Schneider, K. L., Kahan, S. I., Morton, J. M., Goodman, S. B., & Amanatullah, D. F. (2018) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.18.00020 · Cited by 21
Russian Consensus “Hyperammonemia in Adults” (Version 2021)
Lazebnik, L. B., Голованова, Е. В., Alekseenko, S. A., Bueverov, A. O., Plotnikova, E. Y., Dolgushina, A. I., Ilchenko, L. Y., Ермолова, Т. В., Тарасова, Л. В., Lee, E. D., et al. (2021) · Экспериментальная и клиническая гастроэнтерология · doi:10.31146/1682-8658-ecg-187-3-97-118 · Cited by 21
Bariatric surgery as a means to decrease mortality in women with type I endometrial cancer — An intriguing option in a population at risk for dying of complications of metabolic syndrome
Neff, R. T., Havrilesky, L. J., Chino, J., O’Malley, D. M., & Cohn, D. E. (2015) · Gynecologic Oncology · doi:10.1016/j.ygyno.2015.07.002 · Cited by 21
G Protein-Coupled Receptors as Regulators of Energy Homeostasis
Tao, Y., Yuan, Z., & Xie, J. (2013) · Progress in molecular biology and translational science · doi:10.1016/b978-0-12-386933-3.00001-7 · Cited by 21
Perioperative outcome of laparoscopic sleeve gastrectomy for high-risk patients
Borbély, Y., Juilland, O., Altmeier, J., Kröll, D., & Nett, P. C. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.08.492 · Cited by 21
“Although these patients could profit most from a bariatric procedure, they carry the highest perioperative risk and are therefore often refrained from surgery [5,6].”
Background
Whether a Short or Long Alimentary Limb Influences Weight Loss in Gastric Bypass: a Systematic Review and Meta-Analysis
Gan, J., Wang, Y., & Zhou, X. (2018) · Obesity Surgery · doi:10.1007/s11695-018-3475-6 · Cited by 21
Incidence of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy with staple line reinforcement with oversewing and staple line inversion vs buttressing material: A randomized clinical trial
Ruíz-Tóvar, J., Zubiaga, L., Muñoz, J. L. B., & Llavero, C. (2018) · International Journal of Surgery · doi:10.1016/j.ijsu.2018.09.010 · Cited by 21
Citation classics: Top 50 cited articles in bariatric and metabolic surgery
Aminian, A., Daigle, C. R., Brethauer, S. A., & Schauer, P. R. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2013.12.021 · Cited by 21
“(LABS Consortium) [54] Perioperative safety in the longitudinal assessment of bariatric surgery New Engl.”
Background
Bariatric surgery may reduce the risk of Alzheimer’s diseases through GLP-1 mediated neuroprotective effects
Keshava, H. B., Mowla, A., Heinberg, L. J., Schauer, P. R., Brethauer, S. A., & Aminian, A. (2017) · Medical Hypotheses · doi:10.1016/j.mehy.2017.05.002 · Cited by 22
Bariatric Surgery in Septuagenarians: a Comparison with <60 Year Olds
Parmar, C. D., Mahawar, K. K., Carr, W. R. J., Schroeder, N., Balupuri, S., & Small, P. K. (2017) · Obesity Surgery · doi:10.1007/s11695-017-2739-x · Cited by 21
Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
Ansari, W. E., El-Menyar, A. A., El-Ansari, K., Al-Ansari, A. A., & Lock, M. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07184-7 · Cited by 20
Factors that predict 30-day readmission after bariatric surgery: experience of a publicly funded Canadian centre
Dang, J. T., Tavakoli, I., Switzer, N. J., Mocanu, V., Shi, X., de Gara, C., Birch, D. W., & Karmali, S. (2020) · Canadian Journal of Surgery · doi:10.1503/cjs.014918 · Cited by 20
The Safety and Efficacy of Apixaban (Eliquis) in 5017 Post-bariatric Patients with 95.3% Follow-up: a Multicenter Study
Surve, A., Potts, J., Cottam, D. R., Roslin, M. S., Medlin, W., Uchal, M., Richards, C., & Belnap, L. P. (2022) · Obesity Surgery · doi:10.1007/s11695-022-06051-7 · Cited by 20
Systematic Review of Same-Day Laparoscopic Adjustable Gastric Band Surgery
Thomas, H., & Agrawal, S. (2011) · Obesity Surgery · doi:10.1007/s11695-011-0384-3 · Cited by 20
Hospital volume and outcomes for laparoscopic gastric bypass and adjustable gastric banding in the modern era
Varban, O. A., Reames, B. N., Finks, J. F., Thumma, J. R., & Dimick, J. B. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.09.030 · Cited by 20
“Prior studies evaluating the effect of volume on outcomes after bariatric surgery reported a strong relationship between low-volume hospitals and high rates of adverse events compared with high-volume hospitals [1– 3,5,16,17].”
Result
Acute kidney injury in bariatric surgery patients requiring intensive care admission: a state-wide, multicenter, cohort study
Morgan, D. J. R., & Ho, K. M. (2015) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2015.01.005 · Cited by 20
The clinical research office of the endourological society percutaneous nephrolithotomy global study: Outcomes in the morbidly obese patient – a case control analysis
Fuller, A., RAZVI, H. A., Denstedt, J. D., Nott, L., Hendrikx, A. J. M., Luke, M., & de la Rosette, J. J. M. C. H. (2014) · Canadian Urological Association Journal · doi:10.5489/cuaj.2258 · Cited by 20
Do Patients with Obstructive Sleep Apnea have an Increased Risk of Desaturation During Induction of Anesthesia for Weight Loss Surgery?
Eikermann, M., Garzon-Serrano, J., Kwo, J., Grosse-Sundrup, M., Schmidt, U. H., & Bigatello, L. M. (2010) · The Open Respiratory Medicine Journal · doi:10.2174/1874306401004010058 · Cited by 20
Histologic assessment of the intestinal wall following duodenal mucosal resurfacing (DMR): a new procedure for the treatment of insulin-resistant metabolic disease
de Moura, E. G. H., Neto, A. M. D. P., Tsakmaki, A., Aiello, V. D., Bewick, G. A., & Brunaldi, V. (2019) · Endoscopy International Open · doi:10.1055/a-0862-0263 · Cited by 20
“However, bariatric surgery is associated with severe adverse events, rendering it unappealing for many patients [5 – 7].”
Background
The association of body mass index with same-day hospital admission, postoperative complications, and 30-day readmission following day-case eligible joint arthroscopy: A national registry analysis
Gabriel, R. A., Burton, B. N., Ingrande, J., Joshi, G. P., Waterman, R. S., Spurr, K., & Urman, R. D. (2019) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2019.06.012 · Cited by 20
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“Although the number of patients in the present study was ow, the complication rates were acceptable and in keeping ith other published data [8,11].”
BackgroundResult
Following Bariatric Surgery: an Exploration of the Couples’ Experience
Pories, M. L., Hodgson, J. L., Rose, M. A., Pender, J. R., Sira, N., & Swanson, M. S. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1720-9 · Cited by 20
Nutrition Delivery for Obese ICU Patients
Martindale, R. G., DeLegge, M. H., McClave, S. A., Monroe, C., Smith, V. L., & Kiraly, L. N. (2011) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607111415532 · Cited by 19
Application of the Caprini Risk Assessment Model to Select Patients for Extended Thromboembolism Prophylaxis After Sleeve Gastrectomy
Hasley, R. B., Aly, S., Carter, C. O., Carmine, B. J., Hess, D. T., McAneny, D. B., & Pernar, L. I. M. (2022) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-021-05214-8 · Cited by 19
The role of bariatric and metabolic surgery in the development, diagnosis, and treatment of endometrial cancer
Ross, R. C., Akinde, Y. M., Schauer, P. R., le Roux, C. W., Brennan, D. J., Jernigan, A. M., Bueter, M., & Albaugh, V. L. (2022) · Frontiers in Surgery · doi:10.3389/fsurg.2022.943544 · Cited by 20
A 7-Year Study of the Durability of Improvements in Pain, Physical Function, and Work Productivity After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy
King, W. C., Hinerman, A. S., & White, G. E. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.31593 · Cited by 19
Provision of nutritional support to those experiencing complications following bariatric surgery
Segaran, E. (2010) · Proceedings of The Nutrition Society · doi:10.1017/s0029665110001965 · Cited by 19
Metabolic effects of sleeve gastrectomy in female rat model of diet-induced obesity
Brinckerhoff, T. Z., Bondada, S., Lewis, C. E., French, S. W., & DeUgarte, D. A. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.09.025 · Cited by 19
“025 in the treatment of morbid obesity, because it leads to significant long-term weight loss and a rapid resolution of co-morbidities and is associated with increased life expectancy [2–5].”

Authors: The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium
Affiliations: University of Washington (US)
Corresponding author: The Longitudinal Assessment of Bariatric Surgery (LABS) Consortium
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 2009-07-30
Volume: 361
Issue: 5
Pages: 445-454
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejmoa0901836
PMC: PMC2854565
OpenAlex: W1558000543
Cited by: 1,392
References: 21
Citations by year: 2026: 17 · 2025: 30 · 2024: 34 · 2023: 44 · 2022: 64 · 2021: 52 · 2020: 73 · 2019: 82 · 2018: 79 · 2017: 88 · 2016: 115 · 2015: 122 · 2014: 136 · 2013: 107 · 2012: 121
FWCI: 116.28
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (UL1TR000005)
National Institute of Diabetes and Digestive and Kidney Diseases (U01DK066471, U01DK066557, U01DK066526, U01DK066568, U01DK066555, U01DK066667, U01DK066585)
National Center for Research Resources (M01RR000037)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
Keywords: bariatric surgery, perioperative safety, morbid obesity, Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, postoperative mortality, venous thromboembolism, obstructive sleep apnea, body mass index, risk factors, patient decision-making
MeSH terms: Adult, Aged, Female, Humans, Length of Stay, Male, Middle Aged, Obesity, Postoperative Complications, Prospective Studies, Reoperation, Risk Factors, Thromboembolism, Comorbidity, Body Mass Index, Outcome Assessment, Health Care, Observation, Sleep Apnea, Obstructive, Venous Thrombosis, Bariatric Surgery

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Perioperative Safety in the Longitudinal Assessment of Bariatric Surgery

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