IBC Oxford University Poster Abstract 17 - Early postoperative complications after bariatric surgery in Misurata, Libya: a single centre analysis

Abstract Introduction Bariatric surgery is the most effective treatment for morbid obesity and associated medical co morbidities. Bariatric procedures are generally safe and effective but can be associated with complications. Early complications may include bleeding, leakage, venous thromboembolic events (VTE), wound infection, abdominal wall hematoma, and dehydration required admission. Aim The aim of this study is to assess the incidence, clinical presentation, risk factors, and management of early postoperative complication within 30 days. Materials and Methods This single centre retrospective cohort study of collected data for all patients who underwent one of Bariatric Surgical operations: Sleeve gastrectomy, One anastomosis gastric bypass, Roux-en-Y gastric bypass (RNYGB), Single anastomosis sleeve ileal (SASI) in the period between January 2018 September 2023. Results The total number of patients who underwent bariatric surgeries were 861, of them 562 (65.3%) were females 299 (34.7%) were males. Body mass index (BMI) for the patients ranged from 35 to 65ٍ kg/m2 with mean 46.2 kg/m2. The most common procedures done was sleeve gastrectomy 554 (64.3%), followed by bypass surgery 292(33.9%), and 15(1.8%) were revisional procedures. The most common early complications was abdominal wall hematoma which occurred in 27 (3.1%) patients, followed by dehydration in 21 (2.4%), post operative bleeding (POB) which occurred in 16 (1.9%) patients of them 12 (1.4%) patients extra-luminal bleeding (ELB) and 4 (0.5%) patients Intraluminal bleeding (ILB), followed by wound infection in 11 (1.3%) patients, VTE as well as leakage occurred in 5 (0.6%) patients, and prolonged ileus in 2 (0.25%) patients. Noticeably, the leakage was strongly related to higher BMI (P < 0.01), while bleeding was strongly associated with hypertensive patients (P < 0.05). Conclusion The incidence of early complications after bariatric surgery remains within the acceptable range in comparison with the other published studies. Most of the early complication could be managed conservatively while surgical treatment might be required for some patients especially with hemodynamic instability.