SLIDE 1 Departmen artment t of Surgery gery Inspira ira Health th Network
Gus Slot
man, , MD Vinelan land, , New Jersey ey Malinda inda Lyon,
SLIDE 2 None
- We regret to report that no profit was made from
this research
SLIDE 3
The obesity epidemic requires every surgeon
to manage morbidly obese patients
Every insight helps optimize care of these
medically fragile individuals
Variation by sex in weight-related conditions
is not well-defined
The objective of this study was to identify
clinical differences between obese women and men pre-operatively for sleeve gastrectomy
SLIDE 4
Data from 8,966 patients in the Surgical
Review Corporation’s BOLD database who were about to undergo sleeve gastrectomy
Analyzed in two groups: Females (n=6685)
and Males (n=2281)
ANOVA compared age, weight, and Body
Mass Index (BMI)
Chi-squared assessed dichotomous variable
distribution
SLIDE 5
20 40 60 80 100 120 140 160 180 Male Female (p<0.0001)
SLIDE 6
Male
Caucasian 78/74% African- American 6/12% Hispanic 10.3/8.8% (p<0.0001)
Female le
SLIDE 7
10 20 30 40 50 60 70 80 Medicaid Medicare Private Male Female (p<0.0001)
SLIDE 8
10 20 30 40 50 60 70 Male Female (p<0.0001)
SLIDE 9
5 10 15 20 25 30 35 40 45 50 Male Female (p<0.0001)
SLIDE 10
5 10 15 20 25 30 35 40 Male Female (p<0.0001)* *tobacco p<0.05
SLIDE 11
10 20 30 40 50 60 70 Male Female (p<0.0001)
SLIDE 12
5 10 15 20 25 30 35 40 45 50 Male Female (p<0.0001)
SLIDE 13 Men
- Older
- Heavier
- Smoked and drank more
- Carried more co-morbidities
Especially with functional disability and serious cardio- pulmonary/endocrine/metabolic issues
Women
- Cholelithiasis
- GERD
- Neuro/psychological problems
SLIDE 14 Advance knowledge gives surgeons
heightened index of suspicion for obese patients
These results are from a self-selected
population but still may be representative of morbidly obese surgical patients
Can improve operative outcomes in morbidly
SLIDE 15
