TY - JOUR T1 - Usefulness of respiratory evaluation before bariatric surgery in morbidly obese patients JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P4003 AU - Amaia Urrutia AU - Ruth Diez AU - Sandra Pedrero AU - Amaia Sagarna AU - Estibaliz Perez AU - Teresa Ruiz de Azua AU - Gaizka Errazti AU - Valentin Cabriada AU - Jose Amilibia Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P4003.abstract N2 - INTRODUCTIONBariatric surgery is a useful treatment for morbidly obese patients, in which breathing/sleep disorders are highly prevalent. Our aim is to study the usefulness of a respiratory evaluation before surgery, analyzing complicationsMETHODS192 patients who underwent surgery between 2000-2010Presurgery evaluation: clinical features, spirometry, gasometry and sleep study SS if sleep disorder is suspectedRetrospective study of complications: respiratory RC, abdominal AC and others OCRESULTS69 patients (35.9%) had a complication, 41 (21.4%) mild abdominal origin, 21 (11%) RC. 4 of the RC (2.1% from total) were due to weaning. 8 patients (4.2%) needed to be reoperated, 14 (7.3%) were readmitted. Immediate mortality was nil and 0.5% at 3 monthsPatients with a RC had a greater AHI (34.1 vs 28.8, p 0.04), higher reoperation rate (26.3% vs 2.3%, p 0.001),readmissions (5.3% vs 0%, p 0.0001) and higher mortality (5.2% vs 0%, ns)None of the patients with RC underwent gastrectomy (gastrectomy 0%, bypass 89.5%, other 10.5%, p = o, 018)No differences were seen in blood gas and functional variables, realization of SS or comorbiditiesCONCLUSIONSOSA is a common disease in morbidly obese patients, 62.5% of symptomatics and 44,3% of those seen in clinicsThe RC rate with our protocol is less than 10%Patients with RC had an greater AHI and had a higher need for readmission or reoperationThere was no RC in patients who underwent gastrectomy. ER -