Can We Predict Gastric Leaks after Laparoscopic Sleeve Gastrectomy by Evaluating the Complete Blood Count on Postoperative Day 1?

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dc.authorscopusidHakan Seyit / 36125356800
dc.authorwosidHakan Seyit / AAJ-7050-2020
dc.contributor.authorSeyit, Hakan
dc.contributor.authorGökçal, Fahri
dc.contributor.authorAlış, Halil
dc.date.accessioned2025-04-18T10:22:00Z
dc.date.available2025-04-18T10:22:00Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractIntroduction: We assessed whether postoperative day-1 (POD-1) complete blood count (CBC) test parameters, including red cell distribution width (RDW), mean platelet volume (MPV), plateletcrit (PCT), platelet-to-lymphocyte ratio (PLR), and neutrophil-to-lymphocyte ratio (NLR), could identify patients with gastric leaks after laparoscopic sleeve gastrectomy (LSG). Methods: Patients with postoperative gastric leaks (n=36) and patients with no complications who were selected by age-sex-BMI matching (n=254) were included in the study. The levels of RDW, MPW, PCT, PLR, and NLR were compared between groups in univariate analyses. Receiver operating characteristic (ROC) curve analysis was run for CBC parameters with a P-value<0.05 in univariate analyses. The area under the curve (AUC) was evaluated, and a cutoff value was determined. Sensitivity, specificity, likelihood ratio (LR), positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated. Results: The level of PCT was significantly lower, while levels of PLR and NLR were significantly higher in patients with postoperative gastric leaks as compared with those without (P<0.05). The AUC of both PCT and PLR was <0.750, while the AUC of NLR was 0.911. NLR cutoff at 3.6 yielded 80% sensitivity, 92% specificity, and an LR of 10. In the study cohort, PPV of 59%, NPV of 97%, and an accuracy of 90% were found. Conclusions: Our results suggest that NLR at POD-1, with a cutoff value of 3.6, is a useful indicator of postoperative gastric leak who underwent LSG. We recommend the use of this easily calculated parameter in clinical practice. © 2024 Wolters Kluwer Health, Inc. All rights reserved.
dc.identifier.citationSeyit, H., Gokcal, F., & Alis, H. (2024). Can We Predict Gastric Leaks After Laparoscopic Sleeve Gastrectomy by Evaluating the Complete Blood Count on Postoperative Day 1?. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 34(5), 485-490.
dc.identifier.doi10.1097/SLE.0000000000001305
dc.identifier.endpage490
dc.identifier.issn15304515
dc.identifier.issue5
dc.identifier.pmid39129428
dc.identifier.scopus2-s2.0-85201160344
dc.identifier.scopusqualityQ2
dc.identifier.startpage485
dc.identifier.urihttp://dx.doi.org/10.1097/SLE.0000000000001305
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7038
dc.identifier.volume34
dc.identifier.wosWOS:001328715800006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSeyit, Hakan
dc.institutionauthoridHakan Seyit / 0000-0003-3708-5370
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectGastric Leak
dc.subjectMorbid Obesity
dc.subjectNeutrophil-to-Lymphocyte Ratio
dc.subjectSleeve Gastrectomy
dc.titleCan We Predict Gastric Leaks after Laparoscopic Sleeve Gastrectomy by Evaluating the Complete Blood Count on Postoperative Day 1?
dc.typeArticle

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