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IBSR Complications

 
 
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THE INTERNATIONAL BARIATRIC SURGERY REGISTRY (IBSR)

The purpose of the International Bariatric Surgery Registry (IBSR), formerly known as the National Bariatric Surgery Registry (NBSR), is to promote optimum care of patients undergoing surgical treatment of severe obesity. Development of the centralized IBSR data base has provided standardized clinical data collection and analysis for the surgical treatment of obesity.

One goal of the IBSR is to enable Bariatric surgeons to evaluate and improve his/her expertise and benefit from the combined experience of all participants.

In 1997, the IBSR published 10 year results.(37) Males comprised 13% of 14,641 patient records in the data set. Mean age at operation was 37± 9.4 years. Operative weight was 127 ± 27.4 kilograms and the Body Mass Index was 46 ± 8.3 kg/m2.

Vertical Banded Gastroplasty (VBG) was the most frequently reported Bariatric procedure performed (36.3%). VBG was followed by the Roux-en-Y Gastric Bypass (RGB) with 29.5%; Silastic Ring Gastroplasty was 9.9%; and Distal Roux-en-Y gastric Bypass (DRGB) 9.0%. The remaining 15.3% of the procedures were grouped according to the degree of operative complexity. An increase in variation and complexity of procedures was noted in the last quarter of the decade which began

A subset of records with complete information for perioperative complications and postoperative hospital stay was analyzed for dominant complication. (38) Mean postoperative hospital stay was reported to be 4.7 days (±2.7). Within 30 days of operation, no perioperative complications were reported for 93.37% of the patients. Major (1.35%) and minor (5.28%) perioperative complications were defined according to length of postoperative stay (Table 1).

Table 1: PERIOPERATIVE COMPLICATIONS - within 30 days of operations

MINOR (postoperative hospital stay was less than 7 days)

MAJOR (postoperative hospital stay equal or greater than 7 days)

N, Percent
Hepatic or Cardiac 23 ( 0.25%)
Respiratory 216 ( 2.35%)
Pulmonary Embolism 19 ( 0.21%)
Other 156 ( 1.70%)
Subphrenic Abscess 17 ( 0.19%)
Wound Infection 94 ( 1.02%)
Gastrointestinal Leak 15 ( 0.16%)
Splenic Injury 19 ( 0.21%)
Evisceration, Dehiscence 12 (0.13%)
G-I Bleeding 12 ( 0.13%)
Deep Venous Thrombosis 10 (0.11%)
Neurologic, Renal 10 ( 0.11%)
Wound Seroma 4 ( 0.04%)
No Complications 8,570 (93.37%)
Small Bowel Obstruction 2 (0.02%)

Twenty-five deaths were reported to have occurred within 30 days of operation, for an operative mortality rate of 0.17%. Pulmonary embolism was the most frequent reported cause of operative death (n=9)

 

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This notice describes how information about you may be used and disclosed and how you can gain access to this information.  Please review carefully


Contact Information: -Telephones: *** CLOS West: 702-456-4643; Trish Lanman 702-376-3446, Sandy Brubaker 702-376-3647; Jennifer Brubaker 702-376-9339, Dr. Rutledge 702-215-9550; 989-450-8081 Kim Hazen 989-450-8081 *** CLOS Florida: Flo Ballengee 863-899-3463 Wayne Robbins 704-682-1549 Elizabeth Robbins 704-928-6693 Dr. Cesare Peraglie 407-922-3424


Email Us Anytime for Help:
Email: Dr. Rutledge DrR@clos.net, *** CLOS West: Trish Lanman Trish@clos.net, Sandy Brubaker SandyB@clos.net Dr. Rutledge DrR@clos.net, Kim Hazen khazen@clos.net *** CLOS Florida: Flo Ballengee flo@clos.net, Wayne Robbins wr@clos.net Elizabeth Robbins epr@clos.net Dr. Peraglie drp@clos.net


Addresses:
Address: *** CLOS West Office: Dr Robert Rutledge / CELOS, 98 E Lake Mead Parkway Suite 302, Henderson NV 89015, Office 702-456-4643, Office fax: 702-456-1173, Contacts: Trish Lanman 702-376-3446 Trish@clos.net, Sandy Brubaker 702-376-3647 SandyB@clos.net, Jennifer Brubaker 702-376-9339 Jen@clos.net, Dr. Rutledge 702-215-9550 Drr@clos.net Kim Hazen 989-450-8081 khazen@clos.net *** CLOS Florida: 40124 Highway 27, Suite 203, Davenport, FL 33837, Wayne Robbins 704-682-1549, wr@clos.net, Elizabeth Robbins 704-928-6693 epr@clos.net, Dr. Peraglie 407-922-3424 drp@clos.net


Warning: Gastric Bypass Surgery is a MAJOR surgical procedure. It can be associated with significant risks and complications, up to and including death. Weight loss surgery is a rapidly developing area of medicine. Bariatric surgery is filled with controversy. It is very important to take a careful and deliberate approach to considering surgery for the treatment of obesity.  

Disclaimer Notice:-Information on this web site is provided for informational purposes only.
-It is imperative that you consult your own physician regarding the applicability of any opinions or recommendations with respect to your symptoms or medical condition.
-Contact with this web site or Dr. Rutledge over the web site does not constitute a doctor patient relationship and for good quality medical care you must obtain advice and consultation form your own local physician.
-This site is intended as a resource for references on the treatment of obesity for health care professionals and educated consumers.
-The authors and editors have used sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication.
-Medical knowledge changes rapidly. In view of the possibility of human error or changes in medical science, neither the authors nor the editors nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information.
This information is not medical advice or diagnosis, nor is it to be construed as medical advice, medical information, medical diagnosis, or medical prescription for curing, removing, or preventing any disease, or related symptoms. You must seek the direct assistance, advice and evaluation of your own personal physician before acting on any information found herein. These statements have not been evaluated by the Food and Drug Administration.
-Readers are Strongly encouraged to discuss and confirm the information contained herein with your own physician.
Copyright © 1998 The Center for Laparoscopic Obesity Surgery