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. 2020 Nov;30(11):4669-4674.
doi: 10.1007/s11695-020-04817-5.

Connected Surveillance for Detection of Complications After Early Discharge from Bariatric Surgery

Maud Neuberg  1 , Marie-Cécile Blanchet  1 , Benoit Gignoux  1 , Vincent Frering  2   3
Affiliations

Connected Surveillance for Detection of Complications After Early Discharge from Bariatric Surgery

Maud Neuberg et al. Obes Surg. 2020 Nov.

Abstract

As part of a bariatric enhanced recovery after surgery (ERAS) program, at-home follow-up using a novel Internet application was used to detect early complications. The study aimed to evaluate the safety and effectiveness of this "connected surveillance" protocol over a 10-day follow-up. Patients were monitored 24/7 by a trained nursing team with daily surgeon review of patient self-reports. Morbidly obese patients (n = 281) underwent OAGB (126, 47.70%) or sleeve gastrectomy (138, 52.3%). Of 264 who completed the study (mean age 40 years [20-66]), 3 (1.1%) underwent revision for early complications; there were 6 (2.1%) readmissions and 22 (8.3%) consultations. In a bariatric surgery ERAS program, "Internet-connected surveillance" proved safe and effective in detecting 100% of early complications, and most patients were satisfied with their care.

Keywords: Connected surveillance; ERAS, bariatric surgery; Enhanced recovery after surgery; OAGB; One-anastomosis gastric bypass.

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Conflict of interest statement

The authors declare that they have no conflict of interest. J. N. Buchwald, Medwrite Medical Communications, received a grant for manuscript development.

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