Obesity and post‐operative complications in patients undergoing non‐bariatric surgery

  title={Obesity and post‐operative complications in patients undergoing non‐bariatric surgery},
  author={Suzanne L. Doyle and Joanne Lysaght and J V Reynolds},
  journal={Obesity Reviews},
As the prevalence of obesity continues to rise in society, an increasing number of patients undergoing non‐bariatric surgery will be obese. Obesity is known to increase morbidity and mortality in the general population and thus is perceived as a risk factor for adverse post‐surgical outcomes. This association is not clear‐cut, however, and there is a lack of consensus in the literature on the risk between obesity and specific complications, in particular relating to infection, wound healing… 
Obesity and postgastrectomy outcomes: large risks, fat chances, or no big deal?
The authors conclude that excessive visceral fat as represented by VFA is an independent risk factor for these untoward events, and that greater diligence is required in patients undergoing curative-intent gastrectomy.
The Role of Infection-Associated Risk Factors in Prosthetic Surgery
  • E. Witsø
  • Medicine
    Hip international : the journal of clinical and experimental research on hip pathology and therapy
  • 2012
The obese patient with DM should be considered a high risk patient for postoperative infection in all types of surgery, and efforts should be made to identify patients with a metabolic syndrome prior to prosthetic surgery.
Obesity and perioperative acute kidney injury: a focused review.
Obesity and Surgical Wound Healing: A Current Review
Improved knowledge and understanding of obesity-induced physiological, cellular, molecular, and chemical changes will facilitate better assessments of surgical risks and outcomes and create efficient treatment protocols for improved patient care of the obese patient population.
Influence of obesity on complications and costs after intestinal surgery.
The impact of obesity and morbid obesity on urgent/emergency colorectal resections: a regional database analysis
Obesity is a risk factor difficult to modify prior to urgent/emergency surgery and managing complications related to obesity after colorectal surgery will be a continued challenge with projected increasing obesity rates.
Obesity as a risk factor of in-hospital outcomes in patients with endometrial cancer treated with traditional surgical mode.
Waist circumference and BMI are strong predictors of in-hospital outcomes among patients with endometrial cancer treated via traditional surgical operation and are linked with haemoglobin loss.
Extending the Limits of Microsurgical Reconstruction in Patients with Moderate to Very Severe Obesity: Single‐Center 6‐Year Experiences
It is suggested that despite higher rates of patient comorbidities, successful free tissue transfer can be achieved in this population with acceptable risk for complications.
Obesity as predictor of postoperative outcomes in liver transplant candidates: Review of the literature and future perspectives.
The obese patient undergoing nonbariatric surgery
Anesthesia of obese patients for nonbariatric surgical procedures requires knowledge of typical comorbidities and their respective treatment options, and a multimodal analgesia approach may be useful to reduce postoperative pulmonary complications.


The obese surgical patient: a susceptible host for infection.
The growing prevalence of obesity and the increasing number of operations performed on obese patients, whether to achieve weight loss or for other purposes, will have a substantial impact on health care resources.
Obesity and Risk of Adverse Outcomes Associated With Coronary Artery Bypass Surgery
Adverse outcomes occurring in-hospital, including mortality, intraoperative/postoperative cerebrovascular accident (CVA), postoperative bleeding, and sternal wound infection, were defined prospectively.
Obesity is not a risk factor for significant adverse outcomes after cardiac surgery.
The results indicate that obese patients may safely undergo cardiac surgery with due attention to technical considerations designed to minimize wound complications and obesity is not a significant multivariate risk factor for adverse outcomes.
The effect of obesity on outcomes among injured patients.
Obese patients are significantly more likely than lean patients to experience complications and death after a traumatic event and this effect is enhanced with higher levels of injury.
Impact of obesity on surgical outcomes after colorectal resection.
Body mass index as a predictor of complications after operative treatment of acetabular fractures.
Body mass index is predictive of complications after operative treatment of acetabular fractures and obese subjects (body mass index of > or =30) were 2.1 times more likely than patients of normal weight to have an estimated blood loss and 2.6 timesMore likely to have a deep venous thrombosis.
The influence of obesity on perioperative morbidity: retrospective study of 502 aortocoronary bypass operations.
Obesity was demonstrated to be an independent risk factor for perioperative complications, hospital morbidity, and length of hospitalization in patients undergoing coronary artery bypass graft (CABG) surgery.
Obesity in Diabetic Patients Undergoing Coronary Artery Bypass Graft Surgery Is Associated with Increased Postoperative Morbidity
Obesity in diabetic patients is an independent predictor of worsened postoperative outcomes after primary coronary artery bypass graft surgery and was independently associated with a significantly increased risk of postoperative respiratory failure.
Influence of obesity on the early and long term results of surgery for coronary artery disease.
Obesity and Metabolic Syndrome Are Independent Risk Factors for Atrial Fibrillation After Coronary Artery Bypass Graft Surgery
It is demonstrated that obesity is a powerful risk factor for the occurrence of POAF after isolated coronary artery bypass grafting surgery in patients older than 50 years and in the younger population, this association is not observed and MS is the only metabolic risk factor to be independently associated with POAF.