In this issue, Vanetta et al. [
[1]
] evaluate the safety and success of same-day discharge (SDD) following the 2 most
commonly performed bariatric procedures, Roux-en-Y gastric bypass (RYGB) and sleeve
gastrectomy (SG). The authors describe qualitatively the results of 33,403 patients across
14 studies who underwent SDD after SG (n = 32,165) or after RYGB (n = 1238) and perform
a quantitative meta-analysis of 5000 patients across 7 studies who underwent SDD following
SG. Successful SDD, readmission, and morbidity rates were primary outcomes, and reoperation
and mortality rates were secondary outcomes. Given insufficient data, a meta-analysis
of SDD following RYGB could not be performed. For patient undergoing SG SDD, using
a random-effects model to estimate weighted pooled proportions for outcomes, the authors
report a SDD success rate of 99% (95% confidence interval [CI], 89%–100%), readmission
rate of 4% (95% CI, 1%–11%), morbidity of 4% (95% CI, 2%–7%), reoperation rate of
1% (95% CI, 0%–1%), and mortality of 0% (95% CI, 0%–0%). The authors conclude that
SDD after SG is feasible and safe and furthermore suggest that SDD after RYGB is promising
but that more evidence is needed regarding the feasibility and safety of this procedure.To read this article in full you will need to make a payment
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References
- 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
- 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
- Where are sleeves performed? An analysis of inpatient versus outpatient databases in a large state.Surg Obes Relat Dis. 2019; 15: 1066-1074
- Impact of bariatric surgery on health care costs of obese persons: a 6-year follow-up of surgical and comparison cohorts using health plan data.JAMA Surg. 2013; 148: 555-562
- Insurance coverage criteria for bariatric surgery: a survey of policies.Obes Surg. 2020; 30: 707-713
- Introducing a bariatric surgery program at a large urban safety net medical center serving a primarily Hispanic patient population.Obes Surg. 2021; 31: 4093-4099
Article info
Publication history
Published online: October 17, 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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