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 Vincent Loftus, Jr, Barham K. Abu Dayyeh

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalObesity Surgery
DOIs
StateAccepted/In press - Oct 10 2017

Fingerprint

Bariatric Surgery
Inflammatory Bowel Diseases
Inpatients
International Classification of Diseases
Safety
Crohn Disease
Length of Stay
Mortality
Ulcerative Colitis
Cohort Studies
Obesity
Logistic Models
Odds Ratio
Regression Analysis

Keywords

  • Bariatric surgery
  • Inflammatory bowel disease

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Bariatric Surgery Is Acceptably Safe in Obese Inflammatory Bowel Disease Patients : Analysis of the Nationwide Inpatient Sample. / Bazerbachi, Fateh; Sawas, Tarek; Vargas, Eric J.; Haffar, Samir; Deepak, Parakkal; Kisiel, John B; Loftus, Jr, Edward Vincent; Abu Dayyeh, Barham K.

In: Obesity Surgery, 10.10.2017, p. 1-8.

Research output: Contribution to journalArticle

Bazerbachi, Fateh ; Sawas, Tarek ; Vargas, Eric J. ; Haffar, Samir ; Deepak, Parakkal ; Kisiel, John B ; Loftus, Jr, Edward Vincent ; Abu Dayyeh, Barham K. / Bariatric Surgery Is Acceptably Safe in Obese Inflammatory Bowel Disease Patients : Analysis of the Nationwide Inpatient Sample. In: Obesity Surgery. 2017 ; pp. 1-8.
@article{42cea2508a234619abab40501a91716a,
title = "Bariatric Surgery Is Acceptably Safe in Obese Inflammatory Bowel Disease Patients: Analysis of the Nationwide Inpatient Sample",
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",
author = "Fateh Bazerbachi and Tarek Sawas and Vargas, {Eric J.} and Samir Haffar and Parakkal Deepak and Kisiel, {John B} and {Loftus, Jr}, {Edward Vincent} and {Abu Dayyeh}, {Barham K.}",
year = "2017",
month = "10",
day = "10",
doi = "10.1007/s11695-017-2955-4",
language = "English (US)",
pages = "1--8",
journal = "Obesity Surgery",
issn = "0960-8923",
publisher = "Springer New York",

}

TY - JOUR

T1 - Bariatric Surgery Is Acceptably Safe in Obese Inflammatory Bowel Disease Patients

T2 - Analysis of the Nationwide Inpatient Sample

AU - Bazerbachi, Fateh

AU - Sawas, Tarek

AU - Vargas, Eric J.

AU - Haffar, Samir

AU - Deepak, Parakkal

AU - Kisiel, John B

AU - Loftus, Jr, Edward Vincent

AU - Abu Dayyeh, Barham K.

PY - 2017/10/10

Y1 - 2017/10/10

N2 - 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.

AB - 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.

KW - Bariatric surgery

KW - Inflammatory bowel disease

UR - http://www.scopus.com/inward/record.url?scp=85030847291&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030847291&partnerID=8YFLogxK

U2 - 10.1007/s11695-017-2955-4

DO - 10.1007/s11695-017-2955-4

M3 - Article

C2 - 29019151

AN - SCOPUS:85030847291

SP - 1

EP - 8

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

ER -