TY - JOUR
T1 - Global 30-Day Morbidity and Mortality of Primary Bariatric Surgery Combined with Another Procedure
T2 - The BLEND Study
AU - BLEND Study Collaborative Group
AU - Martinino, Alessandro
AU - Nanayakkara, Kushan D.L.
AU - Madhok, Brij
AU - Wong, Geoffrey Yuet Mun
AU - Abouelazayem, Mohamed
AU - Pereira, Juan Pablo Scarano
AU - Wazir, Ishaan
AU - Balasubaramaniam, Vignesh
AU - Said, Amira
AU - Marques, Cláudia
AU - Abdelbaeth, Amr
AU - Al-Shami, Khayry
AU - Albashari, Muna
AU - Alkaseek, Akram
AU - Almayouf, Mohammad Abdullah
AU - Aloulou, Mohammad
AU - Alqahtan, Awadh Robaan
AU - Askari, Alan
AU - Attia, Meena Faiez Assad
AU - Awad, Ahmed K.
AU - Aykota, Muhammed Rasid
AU - Bacalbasa, Nicolae
AU - Barrera-Rodriguez, Francisco J.
AU - Benavoli, Domenico
AU - Billa, Srikar
AU - Borrelli, Vincenzo
AU - Çalıkoğlu, İsmail
AU - Campanelli, Michela
AU - Carbajo, Miguel A.
AU - Chowdhury, Sharfuddin
AU - Cristin, Luca
AU - Dapri, Giovanni
AU - Dong, Zhiyong
AU - Elfawal, Mohamad Hayssam
AU - Elgazar, Amr
AU - Elhadi, Muhammed
AU - Gentileschi, Paolo
AU - Graham, Yitka
AU - Haj, Bassel
AU - Johnson, Joseph Andrew
AU - Kalmoush, Abd Elfattah Morsi
AU - Kamal, Ayman
AU - Kamocka, Anna
AU - Khamees, Almu’atasim
AU - Lisi, Giorgio
AU - Hernandez, Edgard Efren Lozada
AU - Marinari, Giuseppe M.
AU - Martines, Gennaro
AU - Meric, Serhat
AU - Sakran, Nasser
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
PY - 2024/11
Y1 - 2024/11
N2 - Background: No robust data are available on the safety of primary bariatric and metabolic surgery (BMS) alone compared to primary BMS combined with other procedures. Objectives: The objective of this study is to collect a 30-day mortality and morbidity of primary BMS combined with cholecystectomy, ventral hernia repair, or hiatal hernia repair. Setting: This is as an international, multicenter, prospective, and observational audit of patients undergoing primary BMS combined with one or more additional procedures. Methods: The audit took place from January 1 to June 30, 2022. A descriptive analysis was conducted. A propensity score matching analysis compared the BLEND study patients with those from the GENEVA cohort to obtain objective evaluation between combined procedures and primary BMS alone. Results: A total of 75 centers submitted data on 1036 patients. Sleeve gastrectomy was the most commonly primary BMS (N = 653, 63%), and hiatal hernia repair was the most commonly concomitant procedure (N = 447, 43.1%). RYGB accounted for the highest percentage (20.6%) of a 30-day morbidity, followed by SG (10.5%). More than one combined procedures had the highest morbidities among all combinations (17.1%). Out of overall 134 complications, 129 (96.2%) were Clavien-Dindo I–III, and 4 were CD V. Patients who underwent a primary bariatric surgery combined with another procedure had a pronounced increase in a 30-day complication rate compared with patients who underwent only BMS (12.7% vs. 7.1%). Conclusion: Combining BMS with another procedure increases the risk of complications, but most are minor and require no further treatment. Combined procedures with primary BMS is a viable option to consider in selected patients following multi-disciplinary discussion. Graphical Abstract: (Figure presented.)
AB - Background: No robust data are available on the safety of primary bariatric and metabolic surgery (BMS) alone compared to primary BMS combined with other procedures. Objectives: The objective of this study is to collect a 30-day mortality and morbidity of primary BMS combined with cholecystectomy, ventral hernia repair, or hiatal hernia repair. Setting: This is as an international, multicenter, prospective, and observational audit of patients undergoing primary BMS combined with one or more additional procedures. Methods: The audit took place from January 1 to June 30, 2022. A descriptive analysis was conducted. A propensity score matching analysis compared the BLEND study patients with those from the GENEVA cohort to obtain objective evaluation between combined procedures and primary BMS alone. Results: A total of 75 centers submitted data on 1036 patients. Sleeve gastrectomy was the most commonly primary BMS (N = 653, 63%), and hiatal hernia repair was the most commonly concomitant procedure (N = 447, 43.1%). RYGB accounted for the highest percentage (20.6%) of a 30-day morbidity, followed by SG (10.5%). More than one combined procedures had the highest morbidities among all combinations (17.1%). Out of overall 134 complications, 129 (96.2%) were Clavien-Dindo I–III, and 4 were CD V. Patients who underwent a primary bariatric surgery combined with another procedure had a pronounced increase in a 30-day complication rate compared with patients who underwent only BMS (12.7% vs. 7.1%). Conclusion: Combining BMS with another procedure increases the risk of complications, but most are minor and require no further treatment. Combined procedures with primary BMS is a viable option to consider in selected patients following multi-disciplinary discussion. Graphical Abstract: (Figure presented.)
KW - Combined procedures
KW - Concomitant cholecystectomy
KW - Concomitant hiatal hernia repair
KW - Concomitant ventral hernia repair
KW - Primary bariatric and metabolic surgery
UR - https://www.scopus.com/pages/publications/85196221739
U2 - 10.1007/s11695-024-07296-0
DO - 10.1007/s11695-024-07296-0
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C2 - 38869833
AN - SCOPUS:85196221739
SN - 0960-8923
VL - 34
SP - 4152
EP - 4165
JO - Obesity Surgery
JF - Obesity Surgery
IS - 11
ER -
SDG 3 Good Health and Well-being