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Ambulatory surgery for sleeve gastrectomy: terminology and concept

      This manuscript [
      • Billing P.
      • Billing J.
      • Kaufman J.
      • Stewart K.
      • Harris E.
      • Landerholm R.
      High acuity sleeve gastrectomy patients performed in a free-standing ambulatory surgical center.
      ] should be commended for inciting bariatric professionals to use enhanced recovery after bariatric surgery criteria and strict protocols more often, but the manuscript contains 2 main limitations that create confusion for the reader. Our purpose is to discuss both the terminology and the concept of “ambulatory center” to offer a more complete and balanced view.
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      References

        • Billing P.
        • Billing J.
        • Kaufman J.
        • Stewart K.
        • Harris E.
        • Landerholm R.
        High acuity sleeve gastrectomy patients performed in a free-standing ambulatory surgical center.
        Surg Obes Relat Dis. 2017; (In press) (In press)
      1. Haute Autorité de Santé [homepage on the Internet; in French].
        Haute Autorité de santé, Saint-Denis, France20122015 (Available from)
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        Impact of the surgical experience on leak rate after laparoscopic sleeve gastrectomy.
        Obes Surg. 2016; 26: 1782-1787
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        Is bariatric surgery safe in the elderly population?.
        Surg Endosc. 2017; 31: 1538-1543

      Linked Article

      • High acuity sleeve gastrectomy patients in a free-standing ambulatory surgical center
        Surgery for Obesity and Related DiseasesVol. 13Issue 7
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          Procedures performed in ambulatory surgical centers (ASC) can provide several advantages over hospital-based surgery. Understandably, concerns have been raised regarding “high acuity” cases in the ASC setting. Recently the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) presented protocols for ASCs to follow, requiring them to perform only “low acuity” cases to be compliant with accreditation.
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