Skip to main content
SpringerLink
Log in

Analysis of Causes and Risk Factors for Hospital Readmission After Roux-en-Y Gastric Bypass

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Identification of causes and preventable triggers for hospital readmission after bariatric surgery is very important to implement strategies for surgical outcome optimization. The aim of the study was to analyze our readmissions after a Roux-en-Y gastric bypass (RYGB).

Patients and Methods

From our prospectively constructed database, patients who were readmitted to the hospital within the following 30 and 90 days after discharge were analyzed. Hospital charts were reviewed to determine the cause of readmission and the outcome. Potential risk factors for readmission were statistically analyzed.

Results

Between June 2004 and November 2013, 657 patients underwent a primary RYGB and 100 revisions. There were 442 (58 %) females and 315 (42 %) males with a mean age of 40.1 ± 11.5 years and a mean BMI of 42.4 ± 6.5 Kg/m2. Comorbidities were present in 441 (58.2 %) patients. Operations were completed laparoscopically in 741 (97.8 %) patients. Mean hospital stay after the RYGB was 2.5 ± 1.6 days. The 30-day and 90-day readmission rate was 2.6 and 4.58 %, respectively. Most common causes for readmission at 30 days were gastrointestinal bleeding in 30 %, lung disease in 15 %, and food intolerance in 15 %. At 90 days, they were stricture of the gastrojejunostomy in 20 %, gastrointestinal bleeding in 13.3 %, and nephrolithiasis in 13.3 %. Open surgery and previous upper abdominal surgery were significant risk factors for 90-day readmission.

Conclusion

Our readmission rate after RYGB was low. Most common causes for readmission were upper gastrointestinal bleeding and food intolerance. Associated risk factors were open surgery and previous upper abdominal surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Hong B, Stanley E, Reinhardt S, et al. Factors associated with readmission after laparoscopic gastric bypass surgery. Surg Obes Relat Dis. 2012;8:691–5.

    Article  PubMed  Google Scholar 

  2. Baptista V, Wassef W. Bariatric procedures: an update on techniques, outcomes and complications. Curr Opin Gastroenterol. 2013;29:684–93.

    Article  PubMed  Google Scholar 

  3. Dorman RB, Miller CJ, Leslie DB, et al. Risk for hospital readmission following bariatric surgery. PLoS ONE. 2012;7(3):e32506.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  4. McCarty MT, Arnold TD, Lamont PJ, et al. Optimizing outcomes in bariatric surgery outpatient laparoscopic gastric bypass. Ann Surg. 2005;242:494–501.

    PubMed  PubMed Central  Google Scholar 

  5. Hutter M. Why readmissions matter…. Surg Obes Relat Dis. 2014;10(3):379-81.

  6. Kellogg TA, Swan T, Leslie AD, et al. Patterns of readmission and reoperation within 90 days after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2009;5:416–24.

    Article  PubMed  Google Scholar 

  7. Saunders J, Ballantyne HG, Belsley S, et al. One-year readmission rates at a high volume bariatric surgery center: laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass. Obes Surg. 2008;18:1233–40.

    Article  PubMed  Google Scholar 

  8. Weller WE, Rosati C, Hannan LE. Relationship between surgeon and hospital volume and readmission after bariatric operation. J Am Coll Surg. 2007;204:383–91.

    Article  PubMed  Google Scholar 

  9. Coleman E, Parry C, Chalmers S, Min S. The care transitions intervention. Results of a randomized controlled trial. Arch Intern Med. 2006;166:1822–8.

    Article  PubMed  Google Scholar 

  10. De Maria EJ, Porterier D, Wolfe L. Obesity surgery, mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass. Surg Obes Relat Dis. 2007;3:134–40.

    Article  Google Scholar 

  11. Mechanick J, Youdim A, Jones BD, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013;9:159–91.

    Article  PubMed  Google Scholar 

  12. Moon RC, Teixeira AF, Goldbach M, et al. Management and treatment outcomes of marginal ulcers after Roux-en-Y gastric bypass at a single high volume bariatric center. Surg Obes Relat Dis. 2014;10:229–34.

    Article  PubMed  Google Scholar 

  13. Petrick A. Preventing readmissions: Geisinger: how we do it. Surg Obes Relat Dis. 2014;10(3):392–5.

    Article  PubMed  Google Scholar 

  14. Dumon KR, Edelson PK, Raper SE, et al. Implementation of designated bariatric surgery program leads to improved clinical outcomes. Surg Obes Relat Dis. 2011;7:271–6.

    Article  PubMed  Google Scholar 

  15. Verseman SR, Birkmeyer NJO. Working together: regional collaborative and readmissions. Surg Obes Relat Dis. 2014;10(3):382–4.

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

The authors declare that they have no competing interests.

Ethical Approval

The protocol was approved by the IRB.

Informed Consent

Does not apply.

Author information

Authors and Affiliations

  1. Center of Nutrition, Obesity and Metabolic Diseases, ABC Medical Center, Mexico City, Mexico

    Azucena Reyes-Pérez, Hugo Sánchez-Aguilar, David Velázquez-Fernández, Donají Rodríguez-Ortíz, Maureen Mosti & Miguel F Herrera

Authors
  1. Azucena Reyes-Pérez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hugo Sánchez-Aguilar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. David Velázquez-Fernández
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Donají Rodríguez-Ortíz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Maureen Mosti
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Miguel F Herrera
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Miguel F Herrera.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Reyes-Pérez, A., Sánchez-Aguilar, H., Velázquez-Fernández, D. et al. Analysis of Causes and Risk Factors for Hospital Readmission After Roux-en-Y Gastric Bypass. OBES SURG 26, 257–260 (2016). https://doi.org/10.1007/s11695-015-1755-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-015-1755-y

Keywords

Search

Navigation