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Same-day discharge on laparoscopic Roux-en-Y gastric bypass patients: an outcomes review

  • 2019 SAGES Oral
  • Published:
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Abstract

Introduction

The objective of this research was to study safety and outcomes in patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) on an ambulatory outpatient basis. As the prevalence of morbid obesity increases, more patients are opting for surgical weight loss as a means to combat their chronic disease. There are several studies demonstrating the safety and feasibility of select patients undergoing LRYGB on a 23-h outpatient basis, but few studies exist regarding the safety and efficacy of these procedures being performed on an ambulatory outpatient basis.

Methods

A retrospective review was completed on all patients who underwent a laparoscopic gastric bypass procedure from 2008 to 2018 at a single outpatient ambulatory surgery center. Median BMI was 46.7 kg/m2. Inclusion criteria included age > 18 and < 65, ASA class less than 3, completion of a bariatric surgery preparation program, no history of major cardiovascular events, and no prior major open abdominal operations. Exclusion criteria included males > 55 years, BMI > 55 for men, and BMI > 60 for women. Operations included primary LRYGB procedures. We determined 30-day post-operative morbidity and mortality for all patients.

Results

There were 398 patients who underwent a LRYGB on an ambulatory basis. After thorough chart review, a total of 362 patients were included. The majority were women (315, 87%). The median age was 42 (range 19–65). Seven (1.93%) patients were directly admitted to the hospital, while 13 (3.59%) patients were admitted to the hospital after initial discharge. There were 3 (0.83%) leaks, 4 (1.11%) bleeds requiring transfusion, no wound infections, 1 (0.28%) obstruction, one (0.28%) venous thrombotic event and/or pulmonary embolism, and 9 (2.49%) reoperations. There were zero deaths.

Conclusions

This study demonstrates that laparoscopic Roux-en-Y gastric bypass is both feasible and safe when performed on select patients on an ambulatory outpatient basis.

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Authors and Affiliations

  1. Peachtree Surgical and Bariatrics, Surgery Center of Atlanta, Atlanta, GA, USA

    Maykong C. Leepalao, Daniela Arredondo, Fredne Speights & Titus D. Duncan

  2. Peachtree Surgical and Bariatrics, Surgery Center of Atlanta, 4200 Northside Parkway NE, Bldg 8, Suite 200, Atlanta, GA, 30327, USA

    Maykong C. Leepalao

Authors
  1. Maykong C. Leepalao
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  2. Daniela Arredondo
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  3. Fredne Speights
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  4. Titus D. Duncan
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Correspondence to Maykong C. Leepalao.

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Maykong C. Leepalao, Daniela Arredondo, Fredne Speights, and Titus D. Duncan have no conflicts of interest or financial ties to disclose.

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Leepalao, M.C., Arredondo, D., Speights, F. et al. Same-day discharge on laparoscopic Roux-en-Y gastric bypass patients: an outcomes review. Surg Endosc 34, 3614–3617 (2020). https://doi.org/10.1007/s00464-019-07139-5

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  • DOI: https://doi.org/10.1007/s00464-019-07139-5

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