Journal of Anesthesia

, Volume 32, Issue 2, pp 227–235 | Cite as

Satisfaction rate of patients undergoing sleeve gastrectomy as day-case surgery compared to conventional hospitalization: a prospective non-randomized study

  • Rachid Badaoui
  • Lionel Rebibo
  • Kahina Kirat
  • Youssef Alami
  • Abdelhakim Hchikat
  • Cyril Cosse
  • Jean-Marc Regimbeau
  • Emmanuel Lorne
Original Article



Day-case surgery (DCS) has boomed over recent years. However, day-case bariatric surgery remains controversial due to a lack of evaluation. The objective of this study was to compare the experiences and satisfaction with general anesthesia of patients undergoing sleeve gastrectomy (SG) as DCS compared to conventional hospitalization.


Between January 2015 and June 2016, all patients undergoing primary SG as day-case surgery or with conventional hospitalization were prospectively included in this non-randomized, non-inferiority study comparing the level of satisfaction of patients undergoing SG with conventional hospitalization (CH group, gold standard) versus SG as DCS (DCS group). The primary efficacy endpoint was comparison of the overall satisfaction rate using the EVAN-G questionnaire. The secondary endpoints were evaluation of the 6 dimensions of the EVAN-G questionnaire, discharge from hospital, adhesion with SG management and overall satisfaction with SG.


One-hundred and twenty-four patients met the inclusion criteria (62 in both groups). The DCS group was younger with fewer comorbidities (p ≤ 0.01) and had a lower BMI (p ≤ 0.01). Overall, the mean EVAN-G questionnaire score was 66.4 (63.9–68.9) for the DCS group and 68.9 (65.9–71.8) for the CH group (non-inferiority of DCS group). In the DCS group, 19% of patients would have preferred to spend the night in hospital, while 82% of patients in the CH group would have preferred DCS and a total of 75% of patients reported a high level of satisfaction.


Overall satisfaction of patients undergoing SG as day-case surgery was not inferior to that of patients managed by conventional hospitalization.


Bariatric surgery Day-case surgery Satisfaction rate Sleeve gastrectomy 



Sleeve gastrectomy


Length of hospital stay


Obstructive sleep apnea syndrome


Day-case surgery


Conventional hospitalization


Postoperative day


Body Mass Index



Support was provided solely from institutional source.

Compliance with ethical standards

Conflict of interest

None of the authors have any conflicts of interest to declare.

Supplementary material

540_2018_2469_MOESM1_ESM.tif (626 kb)
List of the 26 EVAN-G items according to [15] (TIFF 626 kb)


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Copyright information

© Japanese Society of Anesthesiologists 2018

Authors and Affiliations

  • Rachid Badaoui
    • 1
  • Lionel Rebibo
    • 2
  • Kahina Kirat
    • 1
  • Youssef Alami
    • 1
  • Abdelhakim Hchikat
    • 1
  • Cyril Cosse
    • 2
  • Jean-Marc Regimbeau
    • 2
    • 3
    • 4
    • 6
  • Emmanuel Lorne
    • 1
    • 5
  1. 1.Department of AnesthesiologyAmiens University HospitalAmiens Cedex 01France
  2. 2.Department of Digestive SurgeryAmiens University HospitalAmiens Cedex 01France
  3. 3.EA4294Jules Verne University of PicardieAmiens Cedex 01France
  4. 4.Clinical Research CenterAmiens University HospitalAmiens Cedex 01France
  5. 5.INSERM U1088Jules Verne University of PicardyAvenue René LaennecFrance
  6. 6.Service de chirurgie digestive, Hôpital SudCHU d’AmiensAmiens Cedex 01France

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