Departmen artment t of Surgery gery Inspira ira Health th - PowerPoint PPT Presentation

Departmen artment t of Surgery gery Inspira ira Health th Network ork Gus Slot otma man, , MD Vinelan land, , New Jersey ey Malinda inda Lyon, on, DO

 None ◦ We regret to report that no profit was made from this research

 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

 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

180 160 140 120 100 80 Male 60 40 Female 20 (p<0.0001) 0

Female le Caucasian Male 78/74% African- American 6/12% Hispanic 10.3/8.8% (p<0.0001)

80 70 60 50 Male 40 Female 30 (p<0.0001) 20 10 0 Medicaid Medicare Private

70 60 50 40 Male 30 Female 20 (p<0.0001) 10 0

50 45 40 35 30 25 Male 20 15 Female 10 (p<0.0001) 5 0

40 35 30 25 20 Male 15 10 Female 5 (p<0.0001)* 0 *tobacco p<0.05

70 60 50 40 30 Male 20 Female 10 (p<0.0001) 0

50 45 40 35 30 25 20 15 Male 10 5 Female 0 (p<0.0001)

 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

 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 obese patients