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Clinical Management of Major Postoperative Bleeding After Bariatric Surgery by Lars Kollmann; Maximilian Gruber; Johan F. Lock; Christoph-Thomas Germer; Florian Seyfried is a Medicine article available to read on EtoBox.

What is Clinical Management of Major Postoperative Bleeding After Bariatric Surgery about?

## Introduction Major postoperative bleeding (mPOB) is the most common complication after bariatric surgery. Its intesity varies from self-limiting to life-threatening situations. Comprehensive decision-making and treatment strategies are mandatory but not established yet. ## Methods We retrospectively analyzied our prospectively collected database of our bariatric patients during 2012–2022. The primary study endpoint was major postoperative bleeding (mPOB) defined as hemoglobin drop > 2 g/dl or clinically relevant bleeding requiring intervention (transfusion, endoscopy or surgery). Secondary endpoints were overall complications according to Clavien-Dindo-Classification and comprehensive-complication-index (CCI). ## Results We identified 1017 patients, of whom 667 underwent gastric bypass (GB) and 350 sleeve gastrectomy (SG). Major postoperative bleeding occured in 39 patients (total 3.8%; 5.1% after GB and 2.3% after SG). Patients with mPOB were more often diagnosed with type 2 diabetes (__p__ = 0.039), chronic kidney failure (__p__ = 0.013) or received antiplatelet drug treatment (__p__ = 0.003). The interval from detection to intervention within 24 h was 92.1% (35/39). Blood tra

Who reads Clinical Management of Major Postoperative Bleeding After Bariatric Surgery?

Author

Lars Kollmann; Maximilian Gruber; Johan F. Lock; Christoph-Thomas Germer; Florian Seyfried

Publisher

Springer US

Published

2024

Language

EN

Field

Medicine (Health Sciences)