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Open Access 17-02-2024 | Sleeve Gastrectomy | Original Contributions

A Prospective Multicenter Standard of Care Study of Outpatient Laparoscopic Sleeve Gastrectomy

Authors: Amit Surve, Daniel Cottam, Aurora Pryor, Samuel Cottam, Robert Michaelson, Thomas Umbach, Michael Williams, Hossein Bagshahi, Laura July, Racquel Bueno, Devorah Chock, Matthew Apel, Christopher Hart, William Johnson, Brendon Curtis, Amy Rosenbluth, Konstantinos Spaniolas, Walter Medlin, Whitney Wright, Ciara Lee, Christy Lee, Rachael Trujeque, Deborah Rinker

Published in: Obesity Surgery | Issue 4/2024

Abstract

A global shift is occurring as hospital procedures move to ambulatory surgical settings. Surgeons have performed outpatient sleeve gastrectomy (SG) in bariatric surgery since 2010. However, prospective trials are needed to ensure its safety before widespread adoption.

Purpose

The study aimed to present a comprehensive report on the prospective data collection of 30-day outcomes of outpatient primary laparoscopic SG (LSG). This trial seeks to assess whether outpatient LSG is non-inferior to hospital-based surgery in selected patients who meet the outpatient surgery criteria set by the American Society for Metabolic and Bariatric Surgery.

Materials and Methods

This study is funded by the Society of American Gastrointestinal and Endoscopic Surgeons and has been approved by the Advarra Institutional Review Board (Pro00055990). Cognizant of the necessity for a prospective approach, data collection commenced after patients underwent primary LSG procedures, spanning from August 2021 to September 2022, at six medical centers across the USA. Data centralization was facilitated through ArborMetrix. Each center has its own enhanced recovery protocols, and no attempt was made to standardize the protocols.

Results

The analysis included 365 patients with a mean preoperative BMI of 43.7 ± 5.7 kg/m². Rates for 30-day complications, reoperations, readmissions, emergency department visits, and urgent care visits were low: 1.6%, .5%, .2%, .2%, and 0%, respectively. Two patients (0.5%) experienced grade IIIb complications. There were no mortalities or leaks reported.

Conclusion

The prospective cohort study suggests that same-day discharge following LSG seems safe in highly selected patients at experienced US centers.

Graphical Abstract

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Title: A Prospective Multicenter Standard of Care Study of Outpatient Laparoscopic Sleeve Gastrectomy
Authors: Amit Surve
Daniel Cottam
Aurora Pryor
Samuel Cottam
Robert Michaelson
Thomas Umbach
Michael Williams
Hossein Bagshahi
Laura July
Racquel Bueno
Devorah Chock
Matthew Apel
Christopher Hart
William Johnson
Brendon Curtis
Amy Rosenbluth
Konstantinos Spaniolas
Walter Medlin
Whitney Wright
Ciara Lee
Christy Lee
Rachael Trujeque
Deborah Rinker
Publication date: 17-02-2024
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Published in: Obesity Surgery / Issue 4/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-024-07094-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A Prospective Multicenter Standard of Care Study of Outpatient Laparoscopic Sleeve Gastrectomy

Abstract

Purpose

Materials and Methods

Results

Conclusion

Graphical Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

Graphical Abstract

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