Chest pain in the early postoperative period after laparoscopic adjustable gastric banding: Four case reports
Department of Anaesthesia, Alexandra Hospital, Singapore, Singapore 159964.Anaesthesia (Impact Factor: 3.38). 04/2006; 61(4):390-3. DOI: 10.1111/j.1365-2044.2006.04546.x
Laparoscopic adjustable gastric banding (LAGB) is gaining popularity as a technique for achieving effective weight loss in the severely obese population. It is a minimally invasive procedure and the reported early morbidity is low. However, we have observed at our institution that occasional patients complain of central chest pain, mimicking angina (verbal pain score of > 7 out of 10), within 2 h after the procedure. This is a worrying symptom because obesity is known to be a major risk factor for developing cardiovascular complications. We have now performed 250 LAGB operations at our hospital. The following four case reports document our patients who presented with early chest pain postoperatively. Common characteristics of male gender, morbid obesity and some degree of obstructive sleep apnoea were identified among the cases. The aetiology of the chest pain is uncertain; nevertheless, close monitoring is vital to exclude pathological events such as acute coronary syndrome.
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- Surgery for Obesity and Related Diseases 09/2006; 2(5):573-578. DOI:10.1016/j.soard.2006.07.002 · 4.07 Impact Factor
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ABSTRACT: Laparoscopic adjustable gastric banding is an established and popular technique for achieving weight loss in the morbidly obese. It is however not without risks of morbidity and even mortality. The authors present a case report of a 46-year-old female who had a cardiac arrest after adjustment of a gastric band. The pathomechanisms to explain this event are explored and a review of the available literature is undertaken.Obesity Surgery 07/2008; 18(6):750-2. DOI:10.1007/s11695-007-9358-x · 3.75 Impact Factor
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ABSTRACT: Morbid obesity and obstructive sleep apnoea (OSA) are increasingly encountered in anaesthetic practice today. Difficult intubation may be seen more frequently in our practice. This high-risk group may also be more prone to complications in the postoperative period. We reviewed a consecutive series of patients who had undergone laparoscopic gastric banding at our institution from 2001 to 2006. The incidence of difficult intubation, early postoperative complications and its attendant risk factors were studied. Severe OSA and neck circumference greater than 44 cm were factors associated with difficult intubation in morbidly obese patients who presented for bariatric surgery. Asthma and increasing age may be associated risk factors for adverse events in the postoperative period. It is important to anticipate and prepare for a difficult intubation scenario in patients with severe OSA and a larger neck circumference. Close monitoring is recommended for patients with respiratory comorbidities and advanced age.Singapore medical journal 02/2011; 52(2):94-9. · 0.60 Impact Factor