Is next-day discharge following laparoscopic Roux-en-Y gastric bypass safe in select patients? Analysis of short-term outcomes

Surgical Endoscopy

Volumn 28, Issue 10, 2014, Pages 2789-2794

  Elnahas, Ahmad ^a   Urbach, David ^a   Okrainec, Allan ^a   Quereshy, Fayez ^a   Jackson, Timothy D ^a  

^a TORONTO WESTERN HOSPITAL   (Canada)

Author keywords

Gastric bypass; Morbid obesity; Patient discharge; Postoperative complications

Indexed keywords

ADULT; BODY MASS; CANADA; COHORT ANALYSIS; DIABETES MELLITUS; DYSPNEA; FEMALE; HOSPITAL DISCHARGE; HUMAN; HYPERTENSION; LAPAROSCOPY; MALE; OPERATION DURATION; POSTOPERATIVE COMPLICATIONS; REOPERATION; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; STOMACH BYPASS; UNITED STATES;

ADULT; BODY MASS INDEX; CANADA; COHORT STUDIES; DIABETES MELLITUS; DYSPNEA; FEMALE; GASTRIC BYPASS; HUMANS; HYPERTENSION; LAPAROSCOPY; MALE; OPERATIVE TIME; PATIENT DISCHARGE; POSTOPERATIVE COMPLICATIONS; REOPERATION; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 84936075510     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-014-3546-2     Document Type: Article

References (19)

1. Mccarty TM, Arnold DT, Lamont JP, Fisher TL, Kuhn JA (2005) Optimizing outcomes in bariatric surgery: outpatient laparoscopic gastric bypass. Ann Surg 242(4):494–501
2. Hollenbeak CS, Rogers AM, Barrus B, Wadiwala I, Cooney RN (2008) Surgical volume impacts bariatric surgery mortality: a case for centers of excellence. Surgery 144(5):736–743
3. Tuggle KR, Duncan TD, Hobson LL, Carr A, Sans K (2011) Is 23 hour observation for gastric bypass surgery safe? Obesity Surgery. In: Conference: 16th congress of the international federation for the surgery of obesity and metabolic disorders, IFSO 2011 Hamburg, Germany vol 21, issue 8, p 1103
4. Sasse KC, Ganser JH, Kozar MD, Watson RW, Lim DC, Mcginley L, Smith CJ, Bovee V, Beh J (2009) Outpatient weight loss surgery: initiating a gastric bypass and gastric banding ambulatory weight loss surgery center. J Laparoendosc Adv Surg Tech A 13(1):50–55
5. Thomas H, Agrawal S (2011) Systematic review of 23-h (outpatient) stay laparoscopic gastric bypass surgery. J Laparoendosc Adv Surg Tech A 21(8):677–681
6. Fares LG, Reeder RC, Bock J, Batezel V (2008) 23-h stay outcomes for laparoscopic roux-en-y gastric bypass in a small, teaching community hospital. Am Surg 74(12):1206–1210
7. Morton JM, Winegar D, Blackstone R, Wolfe B (2014) Is ambulatory laparoscopic Roux-En-Y gastric bypass associated with higher adverse events? Ann Surg 259(2):286–292
8. Khuri SF, Henderson WG, Daley J (2007) The patient safety in surgery study: background, study design, and patient populations. J Am Coll Surg 204(6):1089–1102
9. Khuri SF, Daley J, Henderson W (1997) Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 185(4):315–327
10. Daley J, Khuri SF, Henderson W (1997) Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 185(4):328–340
11. Daley J, Forbes MG, Young GJ (1997) Validating risk-adjusted surgical outcomes: site visit assessment of process and structure National VA Surgical Risk Study. J Am Coll Surg 185(4):341–351
12. Khuri SF, Henderson WG, Daley J (2008) Successful implementation of the Department of Veterans Affairs’ National Surgical Quality Improvement Program in the private sector: the patient safety in surgery study. Ann Surg 248(2):329–336
13. Finks J, Dimick J, English W, Carlin A, Hawasli A, Wood M, Genaw J, Share D, Birkmeyer J, Birkmeyer NJ (2012) Effects of early discharge on morbidity, mortality, ED visits and readmissions following laparoscopic gastric bypass: results from the Michigan Bariatric Surgery Collaborative.In: 29th annual meeting of the American society for metabolic and bariatric surgery (ASMBS 2012), San Diego. Plenary Session Abstract PL-132
14. Courcoulas A, Schuchert M, Gatti G, Luketich J (2003) The relationship of surgeon and hospital volume to outcome after gastric bypass surgery in pennsylvania: a 3-year summary. Surgery 134(4):613–621
15. Dos santos M, Madalosso CA, Palma LA, Da silva Fornari AC, Do Socorro D, Scherer T, Gurski RR, Fornari F (2009) Hospital discharge in the day following open roux-en-y gastric bypass: is it feasible and safe? Obes Surg 19(3):281–286
16. Madan AK, Speck KE, Ternovits CA, Tichansky DS (2006) Outcome of a clinical pathway for discharge within 48 h after laparoscopic gastric bypass. Am J Surg 192(3):399–402
17. Muller MK, Dedes KJ, Dindo D, Steiner S, Hahnloser D, Clavien PA (2009) Impact of clinical pathways in surgery. Langenbecks Arch Surg 394(1):31–39
18. Ronellenfitsch U, Schwarzbach M, Kring A, Kienle P, Post S, Hasenberg T (2012) The effect of clinical pathways for bariatric surgery on perioperative quality of care. Obes Surg 22(5):732–739
19. Lancaster RT, Hutter MM (2008) Bands and bypasses: 30-day morbidity and mortality of bariatric surgical procedures as assessed by prospective, multi-center, risk-adjusted ACS-NSQIP data. Surg Endosc 22(12):256–2554