According to a new study, men and women may see different risks of death after bariatric surgery.

In nearly 20,000 patients with bariatric surgery, men experienced 5 times higher mortality within 30 days of weight loss surgery than women (0.48% vs. 0.08%). Q:<0.001), which represents 25 deaths in men և 12 deaths, said Hannes Beglbyuk, a doctor at the Medical University of Vienna in Austria, during a meeting of the European Association for the Study of Diabetes (EASD).

Of the men who underwent bariatric surgery, 3.4% (176) died during follow-up, compared with 1.3% (191) of women.

Overall, men were 2.7 times more likely to die after bariatric surgery than women at an average 5.4 years postoperative period (0.64% vs. 0.24%).

Men also saw significantly higher mortality on the day of bariatric surgery – 0.29% vs. 0.05%, representing 15 men and 8 women who died on the day of surgery.

“[Both] “Short-term mortality և Long-term mortality was higher in men than in women,” Beglbuk said. after bariatric surgery. “

However, women saw a slightly higher rate of review activity after the initial surgery, which occurred in 3.4% of women versus 2.8% of men.

“I think it is possible to focus on preoperative counseling, especially for men, so that they can go through. [surgery] “Earlier, սա maybe this will improve mortality,” he added.

According to the 2018 Global Registry Report of the International Federation of Metabolic Surgery’s Obstetrics and Gynecology Surgery, 74% of all candidates for bariatric surgery are women. Beglbyuk also noted that the sexes have different motives for undergoing such surgery. While women tended to cite appearance as the main motivation for surgery, men were more concerned with resolving medical conditions. What I am saying is that men tend to be bigger, have more comorbidities, and have general ill health when they decide to have surgery compared to women.

The feedback register analysis was performed in Austria and included a total of 19,901 patients who underwent bariatric surgery in 2010. From January to 2018 December. more feminine deviation. The average age of the patient at the time of surgery was 41 years.

Types of surgeries performed included open laparoscopic gastrectomy, gastric bypass grafting, biliopancreatic deviation, and gastric lavage.

The most common procedure for both sexes was gastric bypass grafting, which was chosen by 69% of patients, followed by gastrectomy (24%), gastric banding (6%), and biliopancreatic deviation (0.4%).

From January 2010 to April 2020, 367 (1.8%) patients died, of which 197 died in hospital, 23 of them on the day of surgery.

About half of the patients had concomitant cardiovascular disease before surgery, including 53% of men and 44% of women. Other common comorbidities included psychiatric disorders (47% և 44%, respectively) and diabetes 41 41% և 32%, respectively. Malignant diseases were found in 29% of men and 36% of women.

The Beglbook group also found some differences in the types of medications that patients took a year before surgery.

Prior to surgery, more women were taking antidepressants, more men were taking antidiabetics, antihypertensives, diuretics, vasodilators, beta-blockers, calcium channel blockers, RAAS inhibitors, lipid-lowering drugs, and lipid-lowering drugs.

Men who died after bariatric surgery were more likely to have diabetes than women who died, while malignancies were more common in women who died than men.

The main limitation of the analysis was the inability to include data on smoking and alcohol use, said Beglbook և colleagues. Patients with bariatric surgery have been found to have high rates of alcohol abuse.

  • Kristen Monaco is a staff writer focusing on endocrinology, psychiatry and nephrology news. He has been with the company outside the New York office since 2015.

Discoveries:

Beglbuk did not reveal any revelations.

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