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
  • 47 Downloads

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusion

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

Keywords

Bariatric surgery Day-case surgery Satisfaction rate Sleeve gastrectomy 

Abbreviations

SG

Sleeve gastrectomy

LOS

Length of hospital stay

OSA

Obstructive sleep apnea syndrome

DCS

Day-case surgery

CH

Conventional hospitalization

POD

Postoperative day

BMI

Body Mass Index

Notes

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)

References

  1. 1.
    Pêgo-Fernandes PM, Bibas BJ, Deboni M. Obesity: the greatest epidemic of the 21st century? Sao Paulo Med J. 2011;129:283–4.CrossRefPubMedGoogle Scholar
  2. 2.
    Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004;291:2847–50.CrossRefPubMedGoogle Scholar
  3. 3.
    Charles MA, Eschwège E, Basdevant A. Monitoring the obesity epidemic in France: the Obepi surveys 1997–2006. Obesity. 2008;16:2182–6.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, Dahlgren S, Larsson B, Narbro K, Sjöström CD, Sullivan M, Wedel H, Swedish Obese Subjects Study Scientific Group. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93.CrossRefPubMedGoogle Scholar
  5. 5.
    Silecchia G, Boru C, Pecchia A, Rizzello M, Casella G, Leonetti F, Basso N. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obes Surg. 2006;16:1138–44.CrossRefPubMedGoogle Scholar
  6. 6.
    Topart P, Becouarn G, Ritz P. Comparative early outcomes of three laparoscopic bariatric procedures: sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2012;8:250–4.CrossRefPubMedGoogle Scholar
  7. 7.
    Boza C, Gamboa C, Salinas J, Achurra P, Vega A, Pérez G. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy: a case-control study and 3 years of follow-up. Surg Obes Relat Dis. 2012;8:243–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Mira JJ, Aranaz J. Patient satisfaction as an outcome measure in health care. Med Clin (Barc). 2000;114(Suppl 3):26–33.PubMedGoogle Scholar
  9. 9.
    Sullivan M. The new subjective medicine: taking the patient’s point of view on health care and health. Soc Sci Med. 2003;56:1595–604.CrossRefPubMedGoogle Scholar
  10. 10.
    Gastrectomie Longitudinale [sleeve gastrectomy] pour obésité. Haute Autorité de Santé. Recommandations. 2008.Google Scholar
  11. 11.
    Rebibo L, Dhahri A, Badaoui R, Dupont H, Regimbeau JM. Laparoscopic sleeve gastrectomy as day-case surgery (without overnight hospitalization). Surg Obes Relat Dis. 2015;11:335–42.CrossRefPubMedGoogle Scholar
  12. 12.
    Kraft K, Mariette C, Sauvanet A, Balon JM, Douard R, Fabre S, Guidat A, Huten N, Johanet H, Laurent A, Muscari F, Pessaux P, Piermé JP, Piessen G, Raucoules-Aimé M, Rault A, Vons C, French Society of Gastrointestinal Surgery; Association for Hepatobiliary and Transplantation Surgery. Indications for ambulatory gastrointestinal and endocrine surgery in adults. J Visc Surg. 2011;148:69–74.CrossRefPubMedGoogle Scholar
  13. 13.
    Badaoui R, Rebibo L, Thiel V, Perret C, Popov I, Dhahri A, Regimbeau JM, Verhaeghe P, Dupont H. Observational study on outpatient sleeve gastrectomy. Ann Fr Anesth Reanim. 2014;33:497–502.CrossRefPubMedGoogle Scholar
  14. 14.
    Dhahri A, Verhaeghe P, Hajji H, Fuks D, Badaoui R, Deguines JB, Regimbeau JM. Sleeve gastrectomy: technique and results. J Visc Surg. 2010;147(5 Suppl):e39–46.CrossRefPubMedGoogle Scholar
  15. 15.
    Auquier P, Pernoud N, Bruder N, Simeoni MC, Auffray JP, Colavolpe C, François G, Gouin F, Manelli JC, Martin C, Sapin C, Blache JL. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005;102:1116–23.CrossRefPubMedGoogle Scholar
  16. 16.
    Franck L, Maesani M, Birenbaum A, Delerme S, Riou B, Langeron O, Le Saché F. Feasibility study for ambulatory surgery in emergency. Ann Fr Anesth Reanim. 2013;32:392–6.CrossRefPubMedGoogle Scholar
  17. 17.
    Murphree D. Patient attitudes toward physician treatment of obesity. J Fam Pract. 1994;38:45–8.PubMedGoogle Scholar
  18. 18.
    Frank A. Futility and avoidance. Medical professionals in the treatment of obesity. JAMA. 1993;269:2132–3.CrossRefPubMedGoogle Scholar
  19. 19.
    Wee CC, Phillips RS, Cook EF, Haas JS, Puopolo AL, Brennan TA, Burstin HR. Influence of body weight on patients’ satisfaction with ambulatory care. J Gen Intern Med. 2002;17:155–9.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    de Rond ME, de Wit R, van Dam FS, Muller MJ. A Pain Monitoring Program for nurses: effect on the administration of analgesics. Pain. 2000;89:25–38.CrossRefPubMedGoogle Scholar
  21. 21.
    Bouam S, Gaucher S, Matrella F, Cappiello F, Frenkiel J, Béthoux JP. Increasing ambulatory surgery potential by non-medicalized accommodation: matched comparison of the 2011 national hospital activity data to 66 local stays. J Visc Surg. 2014;151:263–8.CrossRefPubMedGoogle Scholar
  22. 22.
    Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998;8:487–99.CrossRefPubMedGoogle Scholar
  23. 23.
    Billing PS, Crouthamel MR, Oling S, Landerholm RW. Outpatient laparoscopic sleeve gastrectomy in a free-standing ambulatory surgery center: first 250 cases. Surg Obes Relat Dis. 2014;10:101–5.CrossRefPubMedGoogle Scholar
  24. 24.
    Garofalo F, Denis R, Abouzahr O, Garneau P, Pescarus R, Atlas H. Fully ambulatory laparoscopic sleeve gastrectomy: 328 consecutive patients in a single tertiary bariatric center. Obes Surg. 2016;26:1429–35.CrossRefPubMedGoogle Scholar

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

Personalised recommendations