Outcomes of same-day discharge sleeve gastrectomy and Roux-en-Y gastric bypass: a systematic review and meta-analysis

Vanetta, Carolina; Dreifuss, Nicolás H; Angeramo, Cristian A.; Baz, Carolina; Cubisino, Antonio; Schlottmann, Francisco; Masrur, Mario

doi:10.1016/j.soard.2022.09.004

Cited by 10 publications

(4 citation statements)

References 45 publications

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“…The success rate of our study is comparable with results of this study (93% vs 88–98%). Our overall morbidity was higher (9.9 vs. 2.5–4%), but our reoperation rates were lower (1.3% vs 1.9–2.5%) [ 18 ]. This is most likely to our low threshold for readmission, where all readmitted patients were registered as morbidity.…”

Section: Discussionmentioning

confidence: 99%

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients

et al. 2023

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Introduction There is an increasing demand on hospital capacity worldwide due to the COVID-19 pandemic and local staff shortages. Novel care pathways have to be developed in order to keep bariatric and metabolic surgery maintainable. Same-day discharge (SDD) after laparoscopic Roux-en-Y gastric bypass (RYGB) is proved to be feasible and could potentially solve this challenge. The aim of this study was to investigate whether SDD after RYGB is safe for a selected group of patients. Methods In this single-center cohort study, low-risk patients were selected for primary RYGB with intended same-day discharge with remote monitoring. All patients were operated according to ERAS protocol. There were strict criteria on approval upon same-day discharge. It was demanded that patients should contact the hospital in case of any signs of complications. Primary outcome was the rate of successful same-day discharge without readmission within 48 h. Secondary outcomes included short-term complications, emergency department visits, readmissions, and mortality. Results Five hundred patients underwent RYGB with intended SDD, of whom 465 (93.0%) were successfully discharged. Twenty-one patients (4.5%) were readmitted in the first 48 h postoperatively. None of these patients had a severe bleeding. This results in a success rate of 88.8% of SDD without readmission within 48 h. Conclusions Same-day discharge after RYGB is safe, provided that patients are carefully selected and strict discharge criteria are used. It is an effective care pathway to reduce the burden on hospital capacity. Graphical Abstract

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Section: Discussionmentioning

confidence: 99%

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients

et al. 2023

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“…Otro estudio canadiense basado en una serie de 914 pacientes intervenidos en régimen ambulatorio (60 GV y 854 BPG) demostró que sólo el 3% de los pacientes requirió ser readmitido en un centro hospitalario, en especial por sangrado postoperatorio, pudiendo ser los pacientes rescatados en todos los casos sin ningún caso de mortalidad [24] . En 2023 se ha publicado una revisión sistemática y meta-análisis de estudios observacionales, con 5.000 pacientes incluidos, mostrando una tasa de éxito del programa de GV ambulatoria del 99%, con un 4% de readmisiones, una morbilidad global del 4%, un 1% de reintervenciones y un 0% de mortalidad, resultados equiparables a los programas con hospitalización [25] . Además de estos satisfactorios resultados de seguridad, un estudio prospectivo francés mostro que el 82% de los pacientes operados de cirugía bariátrica sin ingreso se mostraban satisfechos con el circuito perioperatorio [26] .…”

Section: Discusión: ¿Por Qué Sin Ingreso?unclassified

Cirugía Bariátrica en Régimen Ambulatorio: Evidencias de viabilidad y propuestas de implementación

Osorio Aguilar,

Lazzara,

Sobrino Roncero

et al. 2024

BMI Journal

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“…Early results showed safety and feasibility for selected patients undergoing SG, but more studies need to be conducted to provide recommendations for general practice. 62 After discharge, patients are typically followed-up at 1-2 weeks postoperatively and then again at 1-3 months with a dietician and physician to monitor their progress. The visits after are often then spaced out dependent on the practice and patient factors.…”

Section: Postoperative Carementioning

confidence: 99%

“…Early results showed safety and feasibility for selected patients undergoing SG, but more studies need to be conducted to provide recommendations for general practice. 62…”

Section: Postoperative Carementioning

confidence: 99%

Updates in Bariatric Surgery

Hsu,

Farrell

2023

The American Surgeon™

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Bariatric surgery is currently the most effective long-term treatment for morbid obesity as well as type-2 diabetes mellitus. The field of metabolic and bariatric surgery has seen tremendous growth over the past decade with dramatically reduced risks. This article aims to provide an update on bariatric surgery, highlighting the latest outcomes, improvements, and challenges in the field. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) released a major update to the indications for bariatric surgery at BMI ≥35 kg/m2 regardless of co-morbidities and 30-34.9 kg/m2 with obesity-related comorbidities. Sleeve gastrectomy has emerged as the most popular bariatric procedure in the last 10 years with its remarkable efficacy and safety profile. The implementation of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) and Enhanced Recovery After Surgery (ERAS) protocols have significantly improved the quality of care for all bariatric patients. The recent introduction and FDA approval of Glucagon-Like Peptide-1 (GLP-1) agonists for chronic obesity has garnered significant media coverage and popularity, but no guidelines exist regarding its use in relation to bariatric surgery. This update underscores the need for tailored approaches, ongoing research, and the integration of evidence-based medicine and innovations to enhance patient care.

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Outcomes of same-day discharge sleeve gastrectomy and Roux-en-Y gastric bypass: a systematic review and meta-analysis

Cited by 10 publications

References 45 publications

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients

Cirugía Bariátrica en Régimen Ambulatorio: Evidencias de viabilidad y propuestas de implementación

Updates in Bariatric Surgery

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