Influence of the Classic and Laparoscopic Bariatric Operations For the Ventilation Lung Activity

• Authors: Magdalena Świαtkowska , Jacek Cywiński , Masoud Hedayati , Rafał Drozda , Maria Wieloch , Krzysztof Kołomecki
• Languages of publication: EN

Abstracts

EN

The obese patient constitute the group with high perioperative risk due to more respiratory and cardiovascular disorders. The respiratory disorders deepen during postoperative period.The aim of the study was an assessment of changes in ventilation lung activity after classic and laparoscopic bariatric operations.Material and methods. For the lung activity assessment the measurement of pick expiratory flow was used before operation, in the first and third twenty-four hours after operation. Moreover, before and in the first twenty-four hours after operation a spirometry was performed. The forced vital capacity (FVC), 1 second forced expiratory volume (FEV1) and Tiffenau index (FEV1/FVC) were estimated in the study. 54 persons were included in batriatric operations. The first group was formed by the patients after vertical banded gastroplasty (VBG), the second after laparoscopic vertical banded gastroplasty (LVBG), the third one after laparoscopic adjustable gastric banding (LABG).Results. The following average results were gained: first group-PEF before operation 399 liter per minute, in the first twenty-four hours after operation 195 liter per minute and in the third twenty-four hours 282 liter per minute. FEV1 before operation 2.6 liter, in the first twenty-four hours 1.5 liter, FVC before 3.5 liter and after operation 2liter. Tiffenau index before 86%, after 85%. The second group PEF before operation 446 liter per minute, in the first twenty-four hours 326 liter per minute in the third twenty-four hours 409 liter per minute, FEV1 before 3.6 liter, after 2.6 liter, FVC before 3.9 liter, after 2.7 liter, Tiffenau index before 92%, after 96%. The third group PEF before 460 liter per minute, in the first twenty-four hours 340 liter per minute, in the third twenty-four hours 430 liter per minute, FEV1 before 3.2 liter, after 3.1 liter, FVC before 4.5 liter, after 3.6 liter, Tiffenau index before 90%, after 90%.Conclusions. The bariatric operations reduce ventilation lung activity. After classic bariatric surgery respiratory disorders are longer and become more intense. Independently of bariatric operation's method all respiratory disorders have a restrict type.

Keywords

EN

obesity; surgery; lung function

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2008
• Volume: 80
• Issue: 12
• Pages: 659-663

Dates

published

1 - 12 - 2008

online

4 - 5 - 2010

Contributors

author

Magdalena Świαtkowska

• Department of General Surgery, MSWiA Hospital in Łódź

author

Jacek Cywiński

• Department of General Surgery, MSWiA Hospital in Łódź

author

Masoud Hedayati

• Department of General Surgery, MSWiA Hospital in Łódź

author

Rafał Drozda

• Department of General Surgery, MSWiA Hospital in Łódź

author

Maria Wieloch

• Department of General Surgery, MSWiA Hospital in Łódź

author

Krzysztof Kołomecki

• Department of General Surgery, MSWiA Hospital in Łódź

References

• Kokot F, Chwalińska-Sadowska H, Droszcz W: Choroby wewnętrzne. Wydawnictwo Lekarskie PZWL, Warszawa 1996; 134-36. 891-95.
• World Health Organization. Obesity:preventing and managing the global epidemic. Report of a WHO Consultation presented at: the World Health Organization. June 3-5,1997. Geneva, Switzerland.
• Włodarek D: Otyłość - czynniki wpływajαce na rozwój otyłości. Medycyna po Dyplomie 2004; 3:103-08.
• Stanowski E, Wyleżoł M, Paśnik K: Laparoskopia w chirurgii bariatrycznej w Polsce - stan aktualny. Videochirurgia 2007; 2/1: 18-23.
• Garfinkiel L: Overweight and cancer. Ann Intern Med 1985; 103: 1034-36.
• Płocharska E, Paśnik K, Grzesiak J: Ocena przed-operacyjna, przygotowanie i znieczulenie chorych poddanych operacji chirurgicznego leczenia otyłości. Videochirurgia 2004; 9, 1/2: 4-9.
• O'Brien PE, Dixon JB: The extent of problem of obesity. Am J Surg 2002; 184: 4S-8S.
• Beuther DA, Sutherland ER: Obesity and pulmonary function testing. J Allergy Clin Immunol 2005; 115: 1100-01.
• Zaharska-Markiewicz B, Mucha Z: Otyłość i leczenie operacyjne. Chirurgia Pol 2001; 3(2): 79-83.
• Ciosek-Sullik D: Otyłość patologiczna - choroba chirurgiczna. Pol Przegl Chir 2006; 78(3): 334-44.
• Tomalak W, Radliński J: Definicje. Pneumonol Alergol Pol 2004; 72: 7-9.
• Bamqbade OA, Rutter TW, Nafiu OO: Postoperative complications in obese and nonobese patients. Worl J Surg 2006; Aug 29 [Epub. ahead of print].
• Dancewicz M, Brocki M, Sapieżko J: Wpływ cholecystectomii laparoskopowej i cholecystektomii klasycznej na wydolność oddechowα. Videochirurgia 1997; 2/4: 33-38.
• Żurawiński W, Sosada K, Matula M: Ocena wentylacyjnej czynności płuc po cholecystektomii laparoskopowej i klasycznej. Videochirurgia 1996; 1/2: 26-30.
• Chuster T, Weissman C, Starker P: Respiratory patterns after cholecystectomy. Chest 1991; 100(1): 23-27.[Crossref]
• Dureuil B, Cantineau P, Desmonts J: Effects of upper or lower abdominal surgery on diaphragmatic function. Br J Anaesth 1987; 59: 230-35.
• Joris JL, Hinque VL, Laurent PE: Pulmonary function and pain after gastroplasty performed via laparotomy or laparoscopy in morbidly obese patients. Br J Anaesth 1998; 80: 283-88.

Identifiers

DOI

10.2478/v10035-008-0093-3