A State-wide Review of Contemporary Outcomes of Gastric Bypass in Florida

Murr, Michel M.; Martin, Taylor; Haines, Krista; Torrella, Tracy; Dragotti, Robert; Kandil, Ali; Gallagher, Scott F.; Harmsen, Scott

doi:10.1097/01.sla.0000256392.04141.04

Cited by 28 publications

(25 citation statements)

References 13 publications

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“…All six studies 27,28,30,36,38,39 examining surgical sequelae demonstrated increases in complications with lower surgeon volumes, including the three studies that reported adjusted results (Table 3).…”

Section: Association Between Facility-level or Surgeonlevel Surgmentioning

confidence: 99%

“…Hospital Volume. All seven studies 26,27,[30][31][32]34,35 examining mortality found a significant inverse association between surgical volume and mortality ( (Table 3). One study 27 (n = 19,174) reported significantly higher mortality for surgeons who performed < 99 cases versus ≥ 500 cases over five years (RR 2.85, 95% CI, 1.32-6.16).…”

Section: Association Between Facility-level or Surgeonlevel Surgmentioning

confidence: 99%

“…Description of Included Studies. Of 973 citations, 14 articles met inclusion criteria and examined the relationship between hospital volume (10 studies) [26][27][28][29][30][31][32][33][34][35] , surgeon volume (eight studies) 27,28,30,34,[36][37][38][39] ,and outcomes; four studies 27,28,30,34 examined two of these relationships. Study sample sizes ranged from 150 to 102,069 patients.…”

Section: Association Between Facility-level or Surgeonlevel Surgmentioning

confidence: 99%

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Bariatric Surgery: A Systematic Review of the Clinical and Economic Evidence

et al. 2011

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Section: Association Between Facility-level or Surgeonlevel Surgmentioning

confidence: 99%

Section: Association Between Facility-level or Surgeonlevel Surgmentioning

confidence: 99%

Section: Association Between Facility-level or Surgeonlevel Surgmentioning

confidence: 99%

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Bariatric Surgery: A Systematic Review of the Clinical and Economic Evidence

et al. 2011

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“…[1] As a result, the number of bariatric surgical procedures has also increased [2][3][4]. The implications for anesthetic and perioperative care of severely obese patients are considerable, and are believed to escalate in the presence of co-morbidities [5,6].…”

Section: Introductionmentioning

confidence: 99%

Reduced Postoperative Pain and Complications after a Modified Multidisciplinary Approach for Bariatric Surgery

Karlnoski¹,

B.S²,

Puri³

et al. 2013

TOOBESJ

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Abstract:Background: There are considerable implications for pain management in morbidly obese patients undergoing weight loss operations. The purpose of this study was to determine if a modified postoperative analgesic regimen and a dedicated postoperative bariatric team reduced pain scores, length of stay and postoperative complications. Materials and Methods:We performed a retrospective analysis of morbidly obese patients admitted to our medical center for laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB). Our previous postoperative pain regimen was ketorolac (30 mg IV plus 15 mg q6h) and patient controlled analgesia (PCA) morphine and was converted to ketorolac (30 mg IV and 30 mg i.m, plus 15 mg q6h), and IV PCA hydromorphone. Visual analog scale (VAS) pain scores from the post-operative care unit were collected retrospectively. The bariatric team was led by a nurse practitioner consisted of a psychologist, exercise physiologist, and nutritionist.Results: Eighty-five patients underwent bariatric operations in the year prior to implementation of the revised postoperative pain management regimen and 372 patients underwent bariatric surgery in the 2 years following implementation. Patient age, gender and BMI were evenly distributed for both groups. Mean VAS scores on postoperative days 1 through 5 were significantly lower after implanting our modified pain regimen (p<0.0001). Pain scores were significantly higher for patients that underwent LRYGB compared to LAGB (p<0.0001). Overall, length of hospital stay was unaffected by the new pain regimen, however a significant reduction was found in patients that underwent LAGB (0.8 days less; p=0.0001). Conclusion:Use of our modified pain regimen resulted in a more effective analgesic protocol and a reduction of hospital stay, without added complications or side effects.

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“…En los últimos 15 años, hemos logrado establecer un programa de tratamiento quirúrgico de la obesidad, con excelentes resultados a largo plazo, con una tasa de complicaciones comparables con las grandes series publicadas en la literatura mundial [29][30][31][32][33][34][35] . En nuestra experiencia, la mortalidad global postoperatoria es de 0,04%.…”

Section: Discussionunclassified