eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2017
vol. 12
 
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abstract:
Original paper

Clinical evaluation of C-reactive protein and procalcitonin for the early detection of postoperative complications after laparoscopic sleeve gastrectomy

Agata Frask
,
Michał Orłowski
,
Natalia Dowgiałło-Wnukiewicz
,
Paweł Lech
,
Krzysztof Gajewski
,
Maciej Michalik

Videosurgery Miniinv 2017; 12 (2): 160–165
DOI: https://doi.org/10.5114/wiitm.2017.67678
Online publish date: 2017/05/12
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Introduction: Among the most common early complications after bariatric surgery are anastomosis leak and bleeding. In order to react quickly and perform accurate treatment before the clinical signs appear, early predictors should be found. In the study C-reactive protein (CRP) and procalcitonin (PCT) levels were investigated. Characterized by a relatively short half-life, they can predict surgical complications.

Aim: To develop and implement certain standards for early detection of complications.

Material and methods: The study involved 319 adults who underwent laparoscopic sleeve gastrectomy (LSG) as a surgical intervention for morbid obesity at the Department of General Surgery of Ceynowa Hospital in Wejherowo. Every patient had CRP and PCT levels measured before the surgery and on the 1st and 2nd postoperative day (POD).

Results: Early postoperative complications occurred in 19 (5.96%) patients. Septic and non-septic complications occurred in 3 and 16 patients respectively. Among the patients with septic postoperative complications CRP level increased significantly on the 2nd POD compared to the remainder (p = 0.0221). Among the patients with non-septic postoperative complications CRP level increased significantly on the 1st and 2nd POD compared to the remainder. Among the patients with septic and non-septic postoperative complications PCT level increased significantly on the 2nd POD compared to the remainder.

Conclusions: The CRP and PCT level are supposed to be relevant diagnostic markers to predict non-septic and septic complications after LSG.
keywords:

C-reactive protein, procalcitonin, bariatric surgery, complications, laparoscopic sleeve gastrectomy
  
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