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
. 2024 Sep;38(9):5122-5129.
doi: 10.1007/s00464-024-11053-w. Epub 2024 Jul 19.

Outcomes of same-day discharge in bariatric surgery

Sydney Cooper  1 , Shivam Patel  1 , Matthew Wynn  1 , David Provost  1 , Monique Hassan  2
Affiliations

Outcomes of same-day discharge in bariatric surgery

Sydney Cooper et al. Surg Endosc. 2024 Sep.

Abstract

Background: Restrictions during the COVID-19 pandemic influenced a shift to same-day discharge in bariatric surgery. Current studies show conflicting findings regarding morbidity and mortality. We aim to compare outcomes for same-day discharge versus admission after bariatric surgery.

Methods: Subjects included patients who underwent primary laparoscopic or robotic-assisted sleeve gastrectomy or Roux-En-Y gastric bypass at an academic center. The inpatient group included patients discharged postoperative day one, and the outpatient group included patients discharged on the day of surgery. Primary outcomes included the number of emergency room visits, reoperations, IV fluid treatments, readmissions, and mortality within 30 days. Secondary outcomes were morbidity, including skin and soft tissue infection, pulmonary embolism, and acute kidney injury.

Results: 1225 patients met the inclusion criteria. In the gastric sleeve group, 852 subjects were outpatients and 227 inpatients. In the gastric bypass group, 70 subjects were outpatients, and 40 were inpatients. The mean age was 44.63 (17.38-85.31) years, and the mean preoperative BMI was 46.07 ± 8.14 kg/m2. The subjects in the outpatient group had lower BMI with fewer comorbidities. The groups differed significantly in age, BMI, and presence of several chronic comorbidities. The inpatient and outpatient groups for each surgery type did not differ significantly regarding reoperations, IV fluid treatments, or 30-day mortality. The inpatient sleeve group demonstrated a significantly higher readmission percentage than the outpatient group (4.6% vs 2.1%; p = 0.02882). The inpatient bypass group showed significantly greater ER visits (21.7% vs 10%; p = 0.0108). The incidence of adverse events regarding the secondary outcomes was not statistically different.

Conclusion: Same-day discharge after bariatric surgery is a safe and reasonable option for patients with few comorbidities.

Keywords: Bariatric surgery complications; Robotic bariatric surgery; Roux-en-Y gastric bypass; Same-day bariatric surgery; Sleeve gastrectomy.

PubMed Disclaimer

Conflict of interest statement

Sydney Cooper, Shivam Patel, Matthew Wynn, David Provost, and Monique Hassan have no conflicts of interest or financial ties to disclose.

References

    1. Altieri MS, Irish W, Pories WJ, Shah A, DeMaria EJ (2021) Examining the rates of obesity and bariatric surgery in the United States. Obes Surg 31(11):4754–4760. 10.1007/s11695-021-05628-y. (Epub 2021 Aug 4. PMID: 34345959) 10.1007/s11695-021-05628-y - DOI - PubMed
    1. Arterburn DE, Telem DA, Kushner RF, Courcoulas AP (2020) Benefits and risks of bariatric surgery in adults: a review. JAMA 324(9):879–887. 10.1001/jama.2020.12567. (PMID: 32870301) 10.1001/jama.2020.12567 - DOI - PubMed
    1. Elnahas A, Urbach D, Okrainec A, Quereshy F, Jackson TD (2014) Is next-day discharge following laparoscopic Roux-en-Y gastric bypass safe in select patients? Analysis of short-term outcomes. Surg Endosc 28(10):2789–2794. 10.1007/s00464-014-3546-2. (Epub 2014 May 2. PMID: 24789135) 10.1007/s00464-014-3546-2 - DOI - PubMed
    1. Morton JM et al (2014) Is ambulatory laparoscopic Roux-en-Y gastric bypass associated with higher adverse events? Ann Surg 259(2):286–292. 10.1097/SLA.0000000000000227. (PMID: 24169190) 10.1097/SLA.0000000000000227 - DOI - PubMed
    1. Al-Masrouri S et al (2022) Ambulatory sleeve gastrectomy: a prospective feasibility and comparative study of early postoperative morbidity. Surg Endosc. 10.1007/s00464-022-09721-w. (Epub ahead of print. PMID: 36271061; PMCID: PMC9589665) 10.1007/s00464-022-09721-w - DOI - PMC - PubMed

MeSH terms

LinkOut - more resources