Abstract
Introduction:
Bariatric surgery is the effective treatment for morbid obesity that has inevitable complications, including postoperative bleeding and staple-line leakage. Erythrocyte sedimentation rate (ESR) can be a clinical indicator for prediction of leakage.
Methods:
This retrospective cohort study was done on 1999 patients who underwent sleeve gastrectomy in Erfan-Niyayesh Hospital, Tehran, Iran. ESR levels of patients were evaluated in cases that had postoperative leak. Statistical analyses were performed using SPSS software.
Results:
Among the 2350, 50 subjects experienced gastric leak (2.12%). ESR mean was 73.1 mm/h for cases, statistically significant in patients with leakage compared with the control group. Also, ESR serum level mean was 31.34 mm/h for control groups. Other variables, including C-reactive protein and platelet count, were not statistically significant.
Conclusion:
Higher ESR serum level can be seen in various conditions, but in obese patients who undergo the bariatric surgery, it can be a reliable predictor for postoperative gastric leak complication.
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