Fat and Sassy

my views on being larger than life.

Bariatric surgery revision statisitics -quick hit February 16, 2010


From the feb Archives of Surgery, in an article about the higher complication rate for revisionist (when they have to go back and correct things, or doing it again because the first procedure “failed”) :

 “Surgical treatment is currently the only effective approach for long-term weight loss in the severely obese, according to background information in the article. “During the last decade, there has been a marked increase in the number of bariatric operations performed annually, which coincides with the increased acceptance and demand of these procedures worldwide,” the authors write. “The evolution of bariatric surgery has also led to a rapidly increasing demand for revisional bariatric procedures following the discontinuation of surgical techniques favored in the past that had unsuccessful weight loss results or other complications in the long term.” Rates of second bariatric operations are reported to be anywhere from 5 percent to 56 percent.”

Think about that for a second….up to 56% of WLS doesn’t work…..and if you get a second one, its worse for your body and doesn’t work as well.   In the study there were 56 patients.   “The patients had three primary reasons for undergoing revisions: 39 had unsatisfactory weight loss after their initial procedure, 15 had severe nutritional complications such as protein malnutrition and two had intolerable adverse effects, including blocking or narrowing of the digestive tract.”    After getting their second procedure done, they were followed for 102 months (finally a study that follows people for long enough to actually see long-term effects.)   Of those, they reported that none died (what do you want a freaking cookie for no one dying after a surgery?)  “but 19 patients (33.9 percent) had serious complications within 30 to 90 days, including internal leakage from the surgical site, acute kidney failure and pneumonia. Late complications (after more than 90 days) were experienced by 13 patients (23.2 percent) and included development of a hernia at the incision site, narrowing of the passageway between the stomach and intestine and low levels of albumin in the blood.”   OK lets add that up people…..there were 56 folks in the study.   19 had critical issues with the surgery within 90 days…thats slightly more than 1/3 getting kidney failure and pneumonia. Late complications (after 90 days)  in 13 patients makes about 1/4 with late complications.   How exactly can you call a surgery a success when well over half experienced sever complications such as hernia,  blood issues, health issues, and kidney failure.  32 out of 56…thats 57.1%….but yea it helped them lose weight so it’s a “success” …..mind you these poor folks had ALREADY gone through one WLS.   Already had weight gain….or health issues…..or bandage slipping… /headdesk.    Big success.

from http://www.sciencedaily.com/releases/2010/02/100215174123.htm