Safety of bariatric surgery in patients with inflammatory bowel disease: A systematic review and meta-analysis.

Title

Safety of bariatric surgery in patients with inflammatory bowel disease: A systematic review and meta-analysis.

Creator

Aziz M; Haghbin H; Sharma S; Fatima R; Ishtiaq R; Chandan S; Mohan BP; Lee-Smith W; Hassan M; Nawras A

Publisher

Clinical Obesity

Date

2020
2020-09-02

Description

The efficacy of bariatric surgery in achieving weight loss and preventing long-term comorbidities such as cardiovascular diseases, diabetes mellitus and osteoarthritis is well established. Data regarding safety of bariatric surgery in patients with inflammatory bowel disease (IBD) is scarce. We attempted a systematic review and meta-analysis to evaluate the complications following bariatric surgery in patients with IBD. The primary outcomes evaluated were wound infection, Clavien-Dindo grade > II complications and IBD exacerbation (within 1 year). Secondary outcomes evaluated included overall mortality, stricture, small bowel obstruction, acute kidney injury (AKI) and thromboembolism. Pooled outcomes (event rate) with 95% confidence interval (CI) were calculated using random effects model. A total of 14 studies (all observational) with 2608 patients were included. The rates of primary outcomes were: wound infection (4.1%, 95% CI: 0.9-7.2), Clavien-Dindo grade > II complications (2.0%, 95%: CI 0.6-3.5) and IBD exacerbation (4.3%, 95% CI: 0.7-7.9). The pooled rate for other outcomes was: mortality 0.1%, stricture 6.5%, small bowel obstruction 6.7%, AKI 2.2% and thromboembolism 0.1%. Bariatric surgery is relatively safe in patients with IBD and should be pursued to reduce comorbidities associated with obesity. Future comparative studies are needed to further assess the safety of bariatric surgery in population with and without IBD.

Subject

ulcerative colitis; bariatric surgery; inflammatory bowel disease; Crohn's disease

Identifier

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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Pages

e12405

ISSN

1758-8111 1758-8103

Update Year & Number

Hospital List

Citation

Aziz M; Haghbin H; Sharma S; Fatima R; Ishtiaq R; Chandan S; Mohan BP; Lee-Smith W; Hassan M; Nawras A, “Safety of bariatric surgery in patients with inflammatory bowel disease: A systematic review and meta-analysis.,” NEOMED Bibliography Database, accessed May 6, 2021, https://neomed.omeka.net/items/show/11427.

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