Facts About The Low Risk Re-Operative Bariatric Surgery (Revision Surgery)
A large medical database has recently been analyzed, and the results show that are operative bariatric surgery does not pose the excessive risk that it initially was thought to. Initially, it was believed that there was an increase in morbidity and mortality rates about reoperative bariatric surgery. The new research suggests that the differences between a first surgery and a second bariatric surgery may be nominal after all.
A digestive disorders specialist named Dr. Ranjan Sudan is also the vice chair of education in the department of surgery at Duke University, Durham, North Carolina. The professional believes that the data received needs to make its way into those that make decisions concerning whether a patient is given the option of a second surgery or not. Currently, most insurance companies and facilities restrict access to reoperative or second bariatric surgeries to patients that have a completely failed first surgery or that have a medical need for corrective surgery.
Facts About The Low-Risk, Re-Operative Bariatric Surgery
The American Society for Metabolic and Bariatric Surgery, led by Dr. Sudan analyzed the data of over 450,000 operations that were conducted over the 5-year period with an ending time of spring of 2012. The procedures were performed with the help of approximately 1,000 surgeons and in over 700 hospitals as reported by the Clinical Endocrinology News.
The comparison was of how many serious 30 day incidents happened such as leaks, bleeding and pulmonary embolism between the initial weight loss surgery and the reoperative or second surgery. The results showed that 1.61 percent of the primary procedures and 1.66 percent of the reoperative procedures had one of the listed complications occur. The difference between the first surgery and the second one is nominal and not that much more from one to the other.
In addition to the incidents of the serious issue, the study also compared the differences in mortality of the patients undergoing the surgeries. At the 30 day mark, the primary surgery patients had a mortality rate of 0.1 percent and then 0.17 percent at the one-year point. The patients that had reoperative surgery had a rate of 0.14 percent of mortality during surgery with a rate of 0.26 percent at the one-year point after surgery. The differences in this analysis were also very nominal and seemed to indicate that a second surgery was no more dangerous than a first.
These findings suggest that the original belief of bariatric surgery reoperative instances posed a great danger to patients over a first surgery. Dr. Sudan believes that a reoperative option for bariatric surgery patients is necessary and should be available to patients if there is little or no further danger over the first surgery. Many patients need the reoperative surgery to tune fine their first surgery and further their weight loss improvement. Also, there is a need for corrective surgeries to help make adjustments that might be necessary after the first surgery has been completed, and results are marked.
The new information should be useful in helping insurance companies and facilities to provide better coverage for their insured individuals. Secondary surgeries are thought to be more dangerous in both the weight loss surgery profession and other fields such as bypass grafting and heart valve surgery. It is believed that the reduced instances of extreme danger for patients’ mean that they will have better access to the operations that are needed to improve their health.
During the 2014 Annual Digestive Disease Week conference that the data indicates that the benefits for patients far outweigh the potential hazards related to the secondary surgeries. This is a positive thing for all concerned and will mean better results for many patients that are not able to access these operations. It will provide surgeons with more ability to get the results that the patient wants and to make sure that the patients stay on the path to success in their weight loss efforts.