There is already a new scoring system to predict, so successful, that patient is at increased risk of death to be a bariatric surgery such as gastric bypass. This system is based on five medical factors, and was proposed last year by the Medical Center surgeons at Duke University. To do this, we take into account the patient’s weight, gender, age, blood pressure and the risk of developing a blood clot in the lungs. Doctors who use this system can easily determine if the patient presents risk of dying is low, medium or high. It has been found that patients in high-risk group were six times more likely to die than those in the low risk group and patients in the medium risk group were three times more likely to die. The surgeon Eric DeMaria, Duke Hospital, said that this system is the first to determine the risk of patients who are considering as an option. This system, he said, allows surgeons have specific data can be used in making the decision whether or not the surgery and during the discussion with patients. Also, the system provides standardization of surgical outcomes, making comparisons more meaningful averages.
In a new study, we examined data from patients who had a 4.433 at the University of South Florida, Medical University of South Carolina and a private hospital in Scottsdale, Arizona. In this scoring system, patients with none or one of five medical factors are considered low risk, those with two or three factors are of medium risk and those with four or five of them are considered at greatest risk. Of the 2.166 patients classified in the scoring system as low-risk group, eight died. 2.142 Twenty-six of the patients in the medium-risk group died, and three of the 125 patients in the high risk group. Although patients in the high-risk group represented less than 3% of the total, representing 8% of deaths.
Factors to consider include:? A body mass index greater than 50. On this scale, the measure of body fat based on weight and height of the person and above 30 is considered obese. Male. Men are more likely than women to suffer hypertension, diabetes and metabolic disorders, in addition to the risk of surgery itself. Older age. Patients over 45 years are at high risk of death after bariatric surgery. Hypertension. Patients with hypertension or high blood pressure, regularly have heart problems or chronic inflammation of blood vessels, increasing the risk of surgery. Risk of pulmonary embolism. Patients with pulmonary embolism, a blood clot in the lungs, or are at risk for a stroke are at greater risk of death with surgery. ‘When we talk to patients about bariatric surgery, we can cite national averages in terms of risks, but not very useful when a patient specific sits in front of me, “says DeMaria. “Many doctors and patients see bariatric surgery as an option only when other means to lose weight have failed. However, our system shows that this strategy may need to be reconsidered. ” For patients with high risk, DeMaria said that the best method is to lose some weight before surgery. Alternatively, surgeons can make a series of smaller procedures, and therefore less risky, during that time. In obesity goodbye we have a electronic reference tool that considers the above and can help you decide which weight loss surgery is your best option. This electronic consultation is free and confidential.
