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Kheirvari et al . Mini-invasive Surg 2020;4:3 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.45

Original Article Open Access

Diagnostic value of erythrocyte sedimentation
rate levels as a predictor of staple-line leakage in
bariatric surgery

Milad Kheirvari , Isa Akbarzadeh , Sahar Eshghjoo , Mohammadreza Yazdannasab , Robert C. Alaniz ,
1
3
3
1
2
Sara Hosseini , Taha Anbara 4
4
1 Microbiology Research Center, Pasteur Institute of Iran, Tehran 1316943551, Iran.
2 Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran 1133766316, Iran.
3 Department of Microbial Pathogenesis and Immunology, College of Medicine, Texas A&M University, Bryan, TX 77807,
USA.
4 Department of Surgery, Erfan Niayesh Hospital, Tehran 1476913814, Iran.
Correspondence to: Dr. Taha Anbara, Department of Surgery, Erfan Niayesh Hospital, Tehran 1476913814, Iran.
E-mail: drtahaanbara@yahoo.com
How to cite this article: Kheirvari M, Akbarzadeh I, Eshghjoo S, Yazdannasab M, Alaniz RC, Hosseini S, Anbara T. Diagnostic
value of erythrocyte sedimentation rate levels as a predictor of staple-line leakage in bariatric surgery. Mini-invasive Surg
2020;4:3. http://dx.doi.org/10.20517/2574-1225.2019.45

Received: 22 Oct 2019 Accepted: 6 Jan 2020 Published: 16 Jan 2020
Science Editor: Wah Yang Copy Editor: Cai-Hong Wang Production Editor: Tian Zhang

Abstract
Aim: Bariatric surgery is an effective treatment for morbid obesity that has inevitable complications including
postoperative bleeding and staple-line leakage. Erythrocyte sedimentation rate (ESR) can be a clinical indicator for
prediction of leakage.

Methods: This retrospective cohort study was done on 1999 patients who underwent sleeve gastrectomy in Erfan
Niyayesh Hospital, Tehran, Iran. ESR levels of patients were evaluated in cases which had postoperative leak. Statistical
analyses were performed using SPSS software.

Results: Among the 2350 patients, 50 subjects experienced gastric leak (2.12%). ESR mean was 73.1 mm/h for cases,
statistically significantly higher in patients with leakage compared to the control group. In addition, ESR serum level
mean was 31.34 mm/h for control groups. Other variables including C-reactive protein and platelet count were not
statistically significant.

Conclusion: Higher ESR serum level can be seen in various conditions, and, in obese patients who undergo bariatric
surgery, it can be a reliable predictor for postoperative gastric leak complication.

Keywords: Erythrocyte sedimentation rate, postoperative leak, sleeve gastrectomy

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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and indicate if changes were made.

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