Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar;33(3):706-713.
doi: 10.1007/s11695-023-06464-y. Epub 2023 Jan 24.

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients

Suzanne C Kleipool  1 , Leontien M G Nijland  2 , Steve M M de Castro  2 , Marlou Vogel  3 , H Jaap Bonjer  4 , Hendrik A Marsman  2 , Pim W J van Rutte  2 , Ruben N van Veen  2
Affiliations

Same-Day Discharge After Laparoscopic Roux-en-Y Gastric Bypass: a Cohort of 500 Consecutive Patients

Suzanne C Kleipool et al. Obes Surg. 2023 Mar.

Abstract

Introduction: There is an increasing demand on hospital capacity worldwide due to the COVID-19 pandemic and local staff shortages. Novel care pathways have to be developed in order to keep bariatric and metabolic surgery maintainable. Same-day discharge (SDD) after laparoscopic Roux-en-Y gastric bypass (RYGB) is proved to be feasible and could potentially solve this challenge. The aim of this study was to investigate whether SDD after RYGB is safe for a selected group of patients.

Methods: In this single-center cohort study, low-risk patients were selected for primary RYGB with intended same-day discharge with remote monitoring. All patients were operated according to ERAS protocol. There were strict criteria on approval upon same-day discharge. It was demanded that patients should contact the hospital in case of any signs of complications. Primary outcome was the rate of successful same-day discharge without readmission within 48 h. Secondary outcomes included short-term complications, emergency department visits, readmissions, and mortality.

Results: Five hundred patients underwent RYGB with intended SDD, of whom 465 (93.0%) were successfully discharged. Twenty-one patients (4.5%) were readmitted in the first 48 h postoperatively. None of these patients had a severe bleeding. This results in a success rate of 88.8% of SDD without readmission within 48 h.

Conclusions: Same-day discharge after RYGB is safe, provided that patients are carefully selected and strict discharge criteria are used. It is an effective care pathway to reduce the burden on hospital capacity.

Keywords: Day case surgery; Roux-en-Y gastric bypass; Same-day discharge.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. (WHO) WHO. World Obesity day 2022 – accelerating action to stop obesity. 2022. Available from: https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelera....
    1. DATO jaarrapportage. 2019. Available from: https://dica.nl/jaarrapportage-2019/dato.
    1. Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142 (4):621–632; discussion 632–625. 10.1016/j.surg.2007.07.018. - PubMed
    1. Zellmer JD, Mathiason MA, Kallies KJ, et al. Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis. Am J Surg. 208. 2014;(6):903–910; discussion 909–910. 10.1016/j.amjsurg.2014.08.002. - PubMed
    1. Stenberg E, Dos Reis Falcao LF, O’Kane M, Liem R, Pournaras DJ, Salminen P, Urman RD, Wadhwa A, Gustafsson UO, Thorell A. Guidelines for perioperative care in bariatric surgery: enhanced recovery after surgery (ERAS) society recommendations: a 2021 update. World J Surg. 2022;46(4):729–751. doi: 10.1007/s00268-021-06394-9. - DOI - PMC - PubMed