National prevalence, causes, and risk factors for bariatric surgery readmissions

Garg, Trit; Rosas, Ulysses S.; Rivas, Homero; Azagury, Dan E.; Morton, John M.

doi:10.1016/j.amjsurg.2016.01.023

Cited by 44 publications

(32 citation statements)

References 25 publications

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“…These predictors have also been identified in previous studies where the readmission rate was higher in diabetes and obstructive sleep apnea patients [46,47,48]. …”

Section: Discussionmentioning

confidence: 54%

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Readmissions and Emergency Department Visits after Bariatric Surgery at Saudi Arabian Hospital: The Rates, Reasons, and Risk Factors

et al. 2017

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Background: Saudi Arabian hospital readmissions and emergency department (ED) visits following bariatric surgery and discharge have never been investigated. This study aimed to evaluate the rates and reasons of hospital readmissions and ED visits related to surgical weight loss interventions at the King Abdulaziz Medical City - Riyadh. Methods: We conducted a retrospective cohort study on 301 patients who underwent bariatric surgery between January 2011 and July 2016. We reviewed patient medical records progressively to assess hospital readmission, ED visits, and complications. Results: Of the 301 patients analyzed, 67.1% were female and 93% had class II obesity.The readmission rate, ED visit rate after discharge and the rate of either of the two was 8%, 14%,and 18.3%, respectively. The most common causes of readmission were abdominal pain (37.5%), nausea/vomiting (29.2%), and site leak (25%), while the most common causes of ED visits were abdominal pain (59.5%) and nausea/vomiting (16.9%). Readmission rates tended to be higher in older patients (age of patients readmitted 42 ± 12.1 years vs. age of patients not readmitted 34.3 ± 11.8 years; p = 0.002). The rate of readmission tends to increase in patients with overweight or class I obesity (odds ratio (OR) = 20.15), diabetes (OR = 14.82), and obstructive sleep apnea (OR = 14.29). Dyslipidemia was positively associated with ED visits (p = 0.027, OR = 2.87). The rate of readmission or ED visits increased with age, while there were decreases in readmission and ED visits for those who had received gastric sleeve surgery. Conclusions: The study reported high rates of readmission and ED visits, thus the effectiveness of different types of weight loss surgeries should be further evaluated, particularly in individuals with complicated medical issues such as diabetes, dyslipidemia, and obstructive sleep apnea.

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“…These predictors have also been identified in previous studies where the readmission rate was higher in diabetes and obstructive sleep apnea patients [46,47,48]. …”

Section: Discussionmentioning

confidence: 54%

“…Garg et al [46] noted that readmission is positively associated with increased BMI. Our findings contradict their report, as there is a negative association between BMI and readmission, with lower BMI increasing the likelihood of readmission and ED visits.…”

Section: Discussionmentioning

confidence: 99%

Readmissions and Emergency Department Visits after Bariatric Surgery at Saudi Arabian Hospital: The Rates, Reasons, and Risk Factors

et al. 2017

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“…1 Gastric bypass surgery is increasingly advocated for these patients, but is available only to aminority and may be associated with significant complications. 2 …”

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confidence: 99%

Glucagon-like Peptide 1 Drugs as Second-line Therapy for Type 2 Diabetes

Butler

2016

JAMA Intern Med

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“…Adjustable gastric banding probably represents the most frequent performed bariatric surgery. LAGB is considered to be an effective method of weight loss [8][9][10], however, all surgical procedures have specifi c complications related to the LAGB, requiring a process for assessment and medical management, a change in lifestyle, diet, and LAGB revision surgery in 20-60 % of cases for failures and/or complications [11,12], which have been listed as gastric band malposition, gastric band erosion, chronic gastric band erosion, gastric band slippage, pouch dilatation, gastric stomal stenosis, catheter malfunction, port-catheter disconnection, catheter-band disconnection, proximal esophageal dilatation without stomal stenosis, esophageal dysmotility, refl ux and esophageal gastrifi cation; being the pouch enlargement, band slip, band erosion, port-site infections and port breakage the most commonly associated with LAGB [13]. There are some specifi c problems related to the device with percentage reported in literature, like: band erosion (2.1% -9.5%); band intolerance; band leak (1.1% -4.9%) and band slippage (2% -18%).…”

Section: Discussionmentioning

confidence: 99%

Complications from Laparoscopic Adjustable Gastric Banding: 364 Cases Experience

Ramiro¹

2017

Glob J Obes Diabetes Metab Syndr

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Background: Laparoscopic adjustable gastric banding LAGB procedures are part of bariatric surgery, it has been reported with favorable risk-benefi t profi le like part of the management of obesity. These procedures are effective at inducing weight loss and improving comorbid conditions, but like all surgical procedures have several complications.Objective: To report 364 LAGB cases with complications observed in the last fi ve years.Material and Methods: LAGB complications were classifi ed as intraoperative, early postoperative, and late postoperative.Results: 250 women and 114 men with mean age at 36 years were treated; time elapsed for LAGB ranged from 7 days to 60 months. Observed complications were: Esophagogastric obstruction (3.2%), Intragastric erosion (54.5%), LAGB chronic slippage (24.6%), Gastric reservoir dilatation (6.23%), Esophageal dilation (3%), Device malfunction (5.1%) and Slippage into the mediastinum (0.5%).Conclusions: the evidence remarks that late complications of gastric banding are common.

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National prevalence, causes, and risk factors for bariatric surgery readmissions

Cited by 44 publications

References 25 publications

Readmissions and Emergency Department Visits after Bariatric Surgery at Saudi Arabian Hospital: The Rates, Reasons, and Risk Factors

Readmissions and Emergency Department Visits after Bariatric Surgery at Saudi Arabian Hospital: The Rates, Reasons, and Risk Factors

Glucagon-like Peptide 1 Drugs as Second-line Therapy for Type 2 Diabetes

Complications from Laparoscopic Adjustable Gastric Banding: 364 Cases Experience

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