Original Article | Open Access

Prognostic performance of the neutrophil-lymphocyte ratio for early complications following sleeve gastrectomy

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Metab Target Organ Damage. 2025;5:[Accepted].
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Abstract

Objective: To evaluate the prognostic performance of the preoperative neutrophil-to-lymphocyte ratio for early complications following sleeve gastrectomy.

Methods: A retrospective cohort study was conducted by analyzing the institutional database of a bariatric clinic from 2017 to 2020. The neutrophil-to-lymphocyte ratio was determined from the preoperative blood count. The area under the curve (AUC) was calculated to determine the performance of the preoperative NLR for early postoperative complications following sleeve gastrectomy.

Results: Among the 387 patients who underwent sleeve gastrectomy, 45 experienced complications within the first 30 postoperative days (11.6%). The AUC for NLR as a predictor of overall early complications after sleeve gastrectomy was 0.42, and for severe complications, it was 0.39.

Conclusion: The preoperative NLR does not perform well as a prognostic indicator for early complications from sleeve gastrectomy.

Keywords

Neutrophils, lymphocytes, bariatric surgery, gastrectomy, postoperative complications (MeSH-NLM)

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Huertas-Campos LF, Torres-Pesantes L, Rodriguez-Sagastegui JO, Pinto-Elera J, Salinas-Sedo G, Toro-Huamanchumo CJ. Prognostic performance of the neutrophil-lymphocyte ratio for early complications following sleeve gastrectomy. Metab Target Organ Damage. 2025;5:[Accept]. http://dx.doi.org/10.20517/mtod.2024.109

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© The Author(s) 2025. 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 as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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