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Obesity Surgery

, Volume 28, Issue 4, pp 1007–1014 | Cite as

Bariatric Surgery Is Acceptably Safe in Obese Inflammatory Bowel Disease Patients: Analysis of the Nationwide Inpatient Sample

  • Fateh Bazerbachi
  • Tarek Sawas
  • Eric J. Vargas
  • Samir Haffar
  • Parakkal Deepak
  • John B. Kisiel
  • Edward V. LoftusJr.
  • Barham K. Abu Dayyeh
Original Contributions

Abstract

Background

The prevalence of obesity in patients with inflammatory bowel disease (IBD) has increased over the past decades. Data to support the safety of bariatric surgery (BAR) in IBD remain scarce. Our aim was to evaluate the safety and early postoperative complications of BAR in IBD patients.

Methods

We used the Nationwide Inpatient Sample (NIS) 2011, 2012, and 2013 to perform a cohort study. The study group was all hospitalized patients between ages 18–90 years who underwent BAR with a discharge diagnosis of IBD as per the Ninth International Classification of Diseases codes (ICD-9). Adults who underwent BAR without ICD-9 codes of IBD were identified as the comparison group. Complications were compared using multivariate logistic regression analysis.

Results

We identified 314,864 adult patients who underwent BAR between 2011 and 2013. Mean age was 45.5 ± 0.11 years, and 79% were females. Seven hundred and ninety patients had underlying IBD; 459 had Crohn’s disease and 331 had ulcerative colitis. The remaining patients formed the comparison group. Mean length of hospital stay (LOS) was longer in the IBD group by 1 day (p = 0.01). The IBD group had a significantly higher risk of perioperative small bowel obstruction (SBO) (adjusted odds ratio, 4.0; 95%, CI; 2.2–7.4). Other technical and systemic complications were similar between the two groups, with no mortality reported in the IBD group.

Conclusions

BAR in IBD patients has an acceptable safety profile, with immeditae risk limited to perioperative SBO and an apparently low risk of mortality or other major immediate postoperative complications.

Keywords

Bariatric surgery Inflammatory bowel disease 

Notes

Compliance with Ethical Standards

Informed consent was not required since patients were unidentifiable in the Nationwide Inpatient Sample and the data is publically available.

The study is IRB exempted under category 4 (publically available data).

Conflict of Interest

The authors declare that they have no conflict of interest.

Supplementary material

11695_2017_2955_MOESM1_ESM.docx (90 kb)
ESM 1 (DOCX 90 kb)

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Fateh Bazerbachi
    • 1
  • Tarek Sawas
    • 1
  • Eric J. Vargas
    • 1
  • Samir Haffar
    • 3
  • Parakkal Deepak
    • 1
    • 2
  • John B. Kisiel
    • 1
  • Edward V. LoftusJr.
    • 1
  • Barham K. Abu Dayyeh
    • 1
  1. 1.Division of Gastroenterology and HepatologyMayo ClinicRochesterUSA
  2. 2.Division of Gastroenterology and HepatologyWashington University School of Medicine in St. LouisSt LouisUSA
  3. 3.Digestive Center for Diagnosis & TreatmentDamascusSyrian Arab Republic

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