Diagnostic Value of Erythrocyte Sedimentation Rate Levels As a Predictor of Staple-Line Leakage in Bariatric Surgery Publisher



Kheirvari M¹ ; Akbarzadeh I² ; Eshghjoo S³ ; Yazdannasab M¹ ; Alaniz RC³ ; Hosseini S⁴ ; Anbara T⁴ Show Affiliations
Source: Bariatric Surgical Practice and Patient Care Published:2020

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. © Copyright 2020, Mary Ann Liebert, Inc., publishers 2020.