Gastric banding: intraoperative and early postoperative complications and their prevention.
BACKGROUND
Intraoperative and early postoperative complications in patients operated for morbid obesity were assessed.


METHODS
114 morbidly obese patients underwnent gastric banding (non-adjustable or adjustable). The influence of body mass index (BMI), age and preoperative morbidity on the occurrence of postoperative ventilatory disturbances was evaluated.


RESULTS
Risk of postoperative ventilatory disorders increased with preoperative cardiovascular disease (p < 0.01), diabetes (p < 0.05), and increasing BMI (p < 0.01). Age, hypertension and pulmonary disease did not influence significantly the risk of complication in this series. There have been no deaths.


CONCLUSIONS
In patients undergoing banding for morbid obesity, the potential for ventilatory complications increases with higher BMI, diabetes and cardiovascular disease in the preoperative comorbidities. Principles for postoperative care were developed.
Hajzman
Z
Z
Military Medical Academy and Department of Surgery, Hradec Králové, Czech Republic. hajzman@pmfhk.cz
Kabelác
K
K
Kaska
M
M
Simkovic
D
D
D000293:Adolescent; D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery