The change in the frequency of community acquired acute respiratory tract infections in weight loss period after bariatric surgery: An observational case-crossover study. Are those who have had bariatric surgery at risk?

Serdar COŞKUN; Cüneyt KIRKIL; Gamze KİRKİL

doi:https://doi.org/10.25000/acem.938844

Article Details

The change in the frequency of community acquired acute respiratory tract infections in weight loss period after bariatric surgery: An observational case-crossover study. Are those who have had bariatric surgery at risk?

Authors:

Serdar COŞKUN | Cüneyt KIRKIL | Gamze KİRKİL

Publisher:

Mustafa HASBAHÇECİ

Main Topics:

Surgery & related medical specialties

Journal:

Archives of Clinical and Experimental Medicine 2021 Vol.6 Issue 2, pp.50-55

Document Type:

Article

Publication Date:

8/2021

Document Language:

English

Document ID (Org No.):

2000675452

Frequency:

Tri-annual

eISSN:

2564-6567

DOI:

https://doi.org/10.25000/acem.938844

Abstract:

 

Aim: It is unknown whether there is an increase in the frequency of acquired respiratory tract infections (ARTIs) while the weight loss process continues after bariatric surgery (BS). 
Methods: An observational case-crossover study of 366 patients underwent BS between September 2018 and September 2019 was performed. Prospectively recorded data of ARTI events in the first pre- and post-operative ARTI seasons were compared.
Results: Mean age was 36.4 ± 10.9 years and mean body mass index (BMI) was 44.1 ± 6.2 kg/m2. Mean change in BMI in an ARTI season was 13.2 ± 6.1 kg/m2. Among 366 patients, 180 (49.2%) were diagnosed with ARTI and the average numbers of ARTIs was 0.69 ± 0.85 in preoperative season. During the postoperative season, 134 (36.6%) patients were diagnosed with ARTI and the average numbers of ARTIs was 0.49 ± 0.76. Both period prevalence and average number of ARTIs in preoperative ARTI season was significantly higher than postoperative season (P = 0.001 for both). The change in BMI in an ARTI season was correlated with the postoperative period prevalence of ARTIs (r = 0.119, P = 0.022).
Conclusion:	These findings showed that the period prevalence and incidence of ARTIs reduced after BS. However, the frequency of ARTIs was higher in patients with greater weight loss.

 

Amaç: Bariatrik cerrahi (BC) sonrası kilo verme süreci devam ederken, edinilmiş solunum yolu enfeksiyonlarının (ASYE) sıklığında bir artış olup olmadığı bilinmemektedir.
Yöntem: Eylül 2018-Eylül 2019 tarihleri arasında BC uygulanan 366 hastanın gözlemsel vaka-çapraz çalışması yapıldı. Ameliyat öncesi ve sonrası ilk ASYE mevsimlerinde ASYE olaylarının prospektif olarak kaydedilen verileri karşılaştırıldı.
Bulgular: Ortalama yaş 36.4 ± 10.9 yıl, ortalama vücut kitle indeksi (VKİ) 44.1 ± 6.2 kg/m2 idi. Bir ASYE mevsiminde VKİ’ndeki ortalama değişim 13.2 ± 6.1 kg / m2 idi. 366 hasta arasında 180 (%49.2) ASYE tanısı kondu ve preoperatif sezonda ortalama ASYE sayısı 0.69 ± 0.85 idi. Postoperatif dönemde 134 (%36.6) hastaya ASYE tanısı kondu ve ortalama ASYE sayısı 0.49 ± 0.76 idi. Preoperatif ASYE sezonunda hem dönem prevalansı hem de ortalama ASYE sayısı postoperatif sezona göre anlamlı derecede yüksekti (her ikisi için de p = 0.001). Bir ASYE mevsiminde VKİ’deki değişim, ASYE’nun postoperatif dönem prevalansı ile korele idi (r = 0.119, p = 0.022).
Sonuç: Bu bulgular, BC sonrası ASYE prevalansının ve insidansının azaldığını göstermiştir. Bununla birlikte, daha fazla kilo kaybı olan hastalarda ASYE sıklığı daha yüksekti.

Article Details

The change in the frequency of community acquired acute respiratory tract infections in weight loss period after bariatric surgery: An observational case-crossover study. Are those who have had bariatric surgery at risk?

Authors: Serdar COŞKUN | Cüneyt KIRKIL | Gamze KİRKİL

Publisher: Mustafa HASBAHÇECİ

Main Topics: Surgery & related medical specialties

Journal: Archives of Clinical and Experimental Medicine 2021 Vol.6 Issue 2, pp.50-55

Document Type: Article

Publication Date: 8/2021

Document Language: English

Document ID (Org No.): 2000675452

Frequency: Tri-annual

eISSN: 2564-6567

DOI: https://doi.org/10.25000/acem.938844

Issues

Authors:

Serdar COŞKUN | Cüneyt KIRKIL | Gamze KİRKİL

Publisher:

Mustafa HASBAHÇECİ

Main Topics:

Surgery & related medical specialties

Journal:

Archives of Clinical and Experimental Medicine 2021 Vol.6 Issue 2, pp.50-55

Document Type:

Article

Publication Date:

8/2021

Document Language:

English

Document ID (Org No.):

2000675452

Frequency:

Tri-annual

eISSN:

2564-6567

DOI:

https://doi.org/10.25000/acem.938844