Clinical significance of perioperative hyperglycemia in bariatric surgery: evidence for better perioperative glucose management

摘要

Background: Uncontrolled hyperglycemia in patients undergoing surgery has been shown to be a risk factor for postoperative complications. Objective: To assess the clinical significance of perioperative hyperglycemia on infectious complications and clinical outcomes in patients undergoing bariatric surgery. Setting: Single academic center. Methods: Retrospective chart review of all patients who underwent primary laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy between 2013 and 2016 was performed. The association between any elevated perioperative glucose value (hyperglycemia: >126 mg/dL) and level of elevation (>126 or >200 mg/dL) with 30-day infectious complications, reoperation, length of hospital stay, and readmission was assessed. Patients who developed early complications (within 3 d of surgery), which could potentially lead to immediate postoperative hyperglycemia, were not included in the analysis. Outcomes of patients with and without diabetes were separately analyzed