{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:44:56Z","timestamp":1761896696868,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons. <jats:italic>Methods<\/jats:italic>. We retrospectively analyzed high-risk patients, who underwent bariatric surgery in University Hospital Leipzig between May 2012 and December 2016. High-risk patients were defined when (Bergeat et al., 2016) at least one of the following risk factors was met: age\u2009\u2265\u200970 years, body mass index (BMI)\u2009&gt;\u200970\u2009kg\/m<jats:sup>2<\/jats:sup>, liver cirrhosis, end-organ failure, or immunosuppression by status after organ transplantation along with (Birkmeyer et al., 2010) at least two comorbidities associated with obesity. Our analysis included early postoperative complications. <jats:italic>Results<\/jats:italic>. A total of 25 high-risk obese patients were identified. All patients had a standardized postoperative management with a mean length of hospital stay of 4\u2009\u00b1\u20091.4 days. One patient required an operative revision due to a stapler line leak after sleeve gastrectomy. No other major postoperative complications occurred. <jats:italic>Conclusion<\/jats:italic>. Bariatric surgery for severe high-risk patients can be performed safely in high-volume centers following standardized procedures.<\/jats:p>","DOI":"10.1155\/2018\/7498258","type":"journal-article","created":{"date-parts":[[2018,1,14]],"date-time":"2018-01-14T18:31:46Z","timestamp":1515954706000},"page":"1-6","source":"Crossref","is-referenced-by-count":23,"title":["Feasibility and Safety of Bariatric Surgery in High-Risk Patients: A Single-Center Experience"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5936-0217","authenticated-orcid":true,"given":"Yusef","family":"Moulla","sequence":"first","affiliation":[{"name":"Department of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Liebigstra\u00dfe 20, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orestis","family":"Lyros","sequence":"additional","affiliation":[{"name":"Department of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Liebigstra\u00dfe 20, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Bl\u00fcher","sequence":"additional","affiliation":[{"name":"Integrated Treatment and Research Centre (IFB) for Obesity Diseases, Philipp-Rosenthal-St. 27, 04103 Leipzig, Germany"},{"name":"Department of Internal Medicine, University of Leipzig, Liebigstra\u00dfe 20, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Medicine, University of Leipzig, Liebigstra\u00dfe 20, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Dietrich","sequence":"additional","affiliation":[{"name":"Department of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Liebigstra\u00dfe 20, 04103 Leipzig, 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