2017 Canadian Surgery Forum Abstracts

2017 Canadian journal of surgery  
01 Iron deficiency in bariatric surgery patients -a single-centre experience over 5 years. B. Lowry, K. Hardy, A. Vergis. From the University of Manitoba, Winnipeg, Man. 04 Documentation of quality of care data for Roux-en-Y gastric bypass: comparison of synoptic and narrative operative reports. The prevalence of obesity is much higher in Indigenous populations than in non-Indigenous ones. Additionally, the rate of diabetes is 2 times higher in Indigenous Canadians, as it manifests at a lower
more » ... dy mass index (BMI). To effectively treat obesity, bariatric surgery has increasingly been used. However, despite the high rate of obesity, 1 study found that only 0.46% of bariatric surgery was performed on Indigenous patients. There is a paucity of literature focused on Indigenous populations and bariatric surgery. The FORUM CANADIEN DE CHIRURGIE S112 J can chir, Vol. 60 (4 Suppl 1), août 2017 -Résumés objective of this study is to determine socioeconomic factors that influence access to bariatric surgery for Indigenous Canadians. A retrospective review was performed on severely obese patients (BMI ≥ 35) seen at a specialty bariatric clinic in 2015. Clinical data, socioeconomic data and Indigenous status were collected. Socioeconomic factors that predict successful completion of a bariatric surgery program were determined. A total of 780 patients were included. Of 7 Indigenous patients (0.9%), the majority were single (71.4%), had completed secondary education (57.1%) or college (28.6%) and were unemployed (100%). None of these patients completed bariatric surgery. Due to low power, multivariate analysis was not completed for this cohort. For the whole cohort, 28.8% successfully completed bariatric surgery. The main reasons for not completing the bariatric program were poor attendance (32.7%) and patient decision not to pursue surgery (22.0%). Multivariate analysis determined that patients who were married (OR 2.04, 95% CI 1.2-3.5), nonsmokers (OR 0.30, 95% CI 0.14-0.65), and female (OR 0.33, 95% CI 0.19-0.56) were more likely to complete bariatric surgery. Education, income and occupation were not predictive of completion. Despite an alarming rate of obesity in In digenous populations, very few Indigenous people are treated in specialized bariatric treatment centres. Further, major socioeconomic factors did not influence successful completion of bariatric surgery. Especially in Canada's public health care system, more treatment should be directed at underserved Indigenous populations. 08 Sleeveplasty.
pmid:28730991 pmcid:PMC5529147 fatcat:zt3r3362dzgcfgrwvxhchyudn4