title: Can We Predict the Perioperative Pulmonary Complications Before Laparoscopic Sleeve Gastrectomy: Original Research.
abstract: The increasing prevalence of obesity in worldwide is one of the most serious chronic public health problems and is considered to be a global epidemic. Bariatric surgical procedures have also been applied more often with increased prevalence of obesity. As a result, the incidence of surgical complications has increased. Preoperative evaluation is quite important for these patients.
  
  
  
  The aim of our study is to determine the predictors of perioperative pulmonary complications of laparoscopic sleeve gastrectomy.
  
  
  
  The study is a cross-sectional study.
  
  
  
  One hundred eighty-three consecutive patients who received laparoscopic bariatric surgery were followed up during 3 months. Patients were divided into two groups A and B. Group A being the patients who had perioperative pulmonary complications (n = 28) and group B being patients who had not (n = 155). Pulmonary function test (PFT), body mass index (BMI), preoperative oxygen saturation, age, gender, comorbid diseases, and smoking history were compared between these groups.
  
  
  
  Mean age, size, weight, BMI, PFT parameters of groups A and B were close to each other. The strongest predictors of perioperative pulmonary complications were duration of smoking in current smokers and low baseline oxygen saturation.
  
  
  
  Preoperative oxygen saturation and smoking history may help to predict perioperative complications of laparoscopic sleeve gastrectomy.
authors.affiliation: Department of Chest Diseases, Kahramanmaras Sutcu Imam University Medicine Faculty, Kahramanmaras, Turkey. nurhanatillag@hotmail.com.
authors.forename: Nurhan
authors.initials: N
authors.lastname: Atilla
authors.affiliation: Department of Chest Diseases, Kahramanmaras Sutcu Imam University Medicine Faculty, Kahramanmaras, Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Arpag
authors.affiliation: Department of Chest Diseases, Kahramanmaras Sutcu Imam University Medicine Faculty, Kahramanmaras, Turkey.
authors.forename: Fulsen
authors.initials: F
authors.lastname: Bozkus
authors.affiliation: Department of Chest Diseases, Kahramanmaras Sutcu Imam University Medicine Faculty, Kahramanmaras, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Kahraman
authors.affiliation: Department of General Surgery, Kahramanmaras Sutcu Imam University Medicine Faculty, Kahramanmaras, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Cengiz
authors.affiliation: Department of General Surgery, Kahramanmaras Sutcu Imam University Medicine Faculty, Kahramanmaras, Turkey.
authors.forename: Ertan
authors.initials: E
authors.lastname: Bulbuloglu
authors.affiliation: Department of Chest Diseases, Kahramanmaras Necip Fazıl State Hospital, Kahramanmaras, Turkey.
authors.forename: Semi
authors.initials: S
authors.lastname: Atilla
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D011237:Predictive Value of Tests; D015995:Prevalence; D012129:Respiratory Function Tests; D012131:Respiratory Insufficiency / Q000453:epidemiology* / Q000209:etiology; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology
keywords: Complication; Obesity; Perioperative; Pulmonary function test; Saturation