Advertisement

Comment on: Bariatric surgeon perceptions of the safety of same-day sleeve gastrectomy in the state of Massachusetts

Published:December 08, 2022DOI:https://doi.org/10.1016/j.soard.2022.12.011
      In a statewide survey of bariatric surgeons’ attitudes regarding same-day discharge after sleeve gastrectomy (SDSG), it was encouraging to read that surgeons remain committed to their patient’s health and safety [

      Echeverri C, Collins M, Kindel T, Petrick A, Jones DB. Bariatric surgeon perceptions of the safety of same-day sleeve gastrectomy in the state of Massachusetts. Surg Obes Relat Dis. Epub 2022 Nov 1.

      ]. The authors do preface that this study was pursued in light of the COVID-19 pandemic, which resulted in creating an at-home postsurgical care model because patients with obesity and metabolic disease were at higher risk of death when contracting COVID-19. As such, it highlights how a global event can alter how one prioritizes safety and risk. However, after the pandemic, the authors found that 96% of surgeons were most concerned about patient safety when asked to perform SDSG. Among the surgeons who did perform SDSG to date, all did so in a hospital setting only, on a select group of patients deemed low risk who could afford to follow up the following day for a clinical evaluation, intravenous fluids, and laboratory tests. As such, the authors concluded that the surgeons in Massachusetts remain reluctant to perform SDSG broadly, which sends a clear message to payers who may stand to benefit financially from moving bariatric surgery to an outpatient care model.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery for Obesity and Related Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Echeverri C, Collins M, Kindel T, Petrick A, Jones DB. Bariatric surgeon perceptions of the safety of same-day sleeve gastrectomy in the state of Massachusetts. Surg Obes Relat Dis. Epub 2022 Nov 1.

      2. Al-Mazrou AM, Bellorin O, Dakin G, Pomp A, Unruh MA, Afaneh C. Implementation of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program and outcomes of bariatric surgery. Am J Surg. Epub 2022 Oct 4.

        • Share D.A.
        • Campbell D.A.
        • Birkmeyer N.
        • Prager R.L.
        • Gurm H.S.
        • Moscucci M.
        • et al.
        How a regional collaborative of hospitals and physicians in Michigan cut costs and improved the quality of care.
        Health Aff (Millwood). 2011; 30: 636-645
        • Rebibo L.
        • Maurice K.K.
        • Nimier M.
        • Ben Rehouma M.
        • Montravers P.
        • Msika S.
        Laparoscopic sleeve gastrectomy as day-case surgery: a review of the literature.
        Surg Obes Relat Dis. 2019; 15: 1211-1217
        • Chao G.F.
        • Ehlers A.P.
        • Ellimoottil C.
        • Varban O.A.
        • Dimick J.B.
        • Telem D.A.
        Convergent Mixed methods exploration of telehealth in bariatric surgery: maximizing provider resources and access.
        Obes Surg. 2021; 31: 1877-1881

      Linked Article