Once believed unattainable, same-day-discharge (SDD) surgery for sleeve gastrectomy
(SG) and Roux-en-Y gastric bypass (RYGB) is now a reality. The capabilities to perform
such operations on an outpatient basis have improved access to care in certain environments
when healthcare systems may be strapped for resources. The challenges posed during
the first 2 years of the COVID-19 pandemic have hastened the utilization of this strategy
as outpatient surgical centers have often been the only option when hospital beds
have been scarce [
[1]
]. At present, studies evaluating the feasibility and safety of SDD have become very
important to guide the practice of metabolic and bariatric surgery (MBS). The authors
of this review and meta-analysis should be congratulated for this very well-written
article and for the sound methodology and highly refined statistical work [
[2]
].To read this article in full you will need to make a payment
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References
Grubbs JE, Daigle HJ, Shepherd M, et al. Fighting the obesity pandemic during the COVID-19 pandemic. Surg Endosc. Epub 2022 Sep 26.
- Outcomes of same-day discharge sleeve gastrectomy and Roux-en-Y gastric bypass: a systematic review and meta-analysis.Surg Obes Relat Dis. 2023; 19: 238-252
- Drain amylase levels in the early diagnosis of gastric leak after laparoscopic sleeve gastrectomy.Med Princ Pract. 2021; 30: 487-492
- Is ambulatory laparoscopic Roux-en-Y gastric bypass associated with higher adverse events?.Ann Surg. 2014; 259: 286-292
- Same-day discharge after laparoscopic Roux-en-Y gastric bypass: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database.J Am Coll Surg. 2018; 226: 868-873
Article info
Publication history
Published online: October 13, 2022
Identification
Copyright
© 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Outcomes of same-day discharge sleeve gastrectomy and Roux-en-Y gastric bypass: a systematic review and meta-analysisSurgery for Obesity and Related DiseasesVol. 19Issue 3
- PreviewLength of stay after bariatric surgery has progressively shortened. Same-day discharge (SDD) has been reported for the 2 most common bariatric procedures, Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). The aim of this study is to evaluate the safety and success of SDD following SG and RYGB. Systematic literature search on SDD after bariatric surgery was conducted in Medline, Cochrane library, Google Scholar, and Embase. SDD was defined as discharging the patient during the day of the bariatric operation, without an overnight stay.
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