Smoking Cessation Is Essential Prior to Bariatric Surgery
In: Difficult Decisions in Surgery: An Evidence-Based Approach ISBN: 9783030553289; (2020-12-08)
Online
unknown
Zugriff:
Smoking is prevalent in patients undergoing bariatric surgery. As many as 25% are active smokers and one-third are former smokers. Multiple studies have documented the adverse effects of smoking following abdominal operations. Currently, the American Society for Metabolic and Bariatric Surgery recommends smoking cessation prior to bariatric surgery. The aim of this chapter is to review the bariatric literature on the effects of smoking to support these recommendations. Twenty-seven studies were found exploring the effects of smoking on post-bariatric outcomes. No randomized controlled trials exist. Evidence supports the increased risk of 30-day complications and pulmonary complications among smokers. Studies also support the increased risk of marginal ulcer with smoking, though the true effect of preoperative smoking versus smoking at the time of ulcer detection remains unclear. The effect of smoking on VTE, ICU requirement, and mortality after bariatric surgery is inconclusive. Nonetheless, based on the available data, we strongly recommend smoking cessation prior to undergoing bariatric surgery. Randomized controlled trials can aid in identifying the minimum duration of cessation required to mitigate adverse effects as well as methods that best promote preoperative smoking cessation and sustained abstinence.
Titel: |
Smoking Cessation Is Essential Prior to Bariatric Surgery
|
---|---|
Autor/in / Beteiligte Person: | Ahmed, Shushmita M. ; Lyo, Victoria |
Link: | |
Quelle: | Difficult Decisions in Surgery: An Evidence-Based Approach ISBN: 9783030553289; (2020-12-08) |
Veröffentlichung: | Springer International Publishing, 2020 |
Medientyp: | unknown |
ISBN: | 978-3-030-55328-9 (print) |
DOI: | 10.1007/978-3-030-55329-6_16 |
Schlagwort: |
|
Sonstiges: |
|