Same day discharge after laparoscopic Sleeve gastrectomy: Our initial experience

Ranjodh Singh, MD, Matthew Musielak, MD, Hassan Shahid, BS, Trace Curry, MD

The Jewish Hospital

Objective: Laparoscopic sleeve gastrectomy (LSG) has evolved as a safe and effective option for the treatment of morbid obesity. Our institution has adopted a novel practice of same-day discharge of LSG patients and is transitioning to adopt it as common practice. Our aim is to assess the potential benefits and drawbacks of this practice and identify a characteristic patient model. We are presenting the initial results and outcomes of LSG with same-day discharge.

Methods: A retrospective analysis of 12 patients who underwent LSG between November 2011 and June 2012 was performed. The aim was to access the safety and short-term efficacy of LSG in patients who were discharged home same day after the procedure. Data collected included preoperative weight and BMI, weight loss after 30 days, weigh loss after 90 days and operative times. We also noted intraoperative and postoperative complications, readmission rates within 30 days of the procedure and associated post-operative symptoms.

Results: Our 12 morbidly obese patients who underwent LSG had an average preoperative weight of 277.5 lbs and an average BMI of 45.40 kg/m2. There were 10 women and 2 men with a mean age of 42.75 years and a range of 19 to 63 years old. Mean Length of stay (LOS) was 7.2 hours postoperatively. Average weight loss at 30 days was 22.25 lbs and 43.6 lbs at 90 days. Average BMI at 90 days was 38.68 kg/m2 with an average total weight loss of 8.0 % at 30 days and 15.7% at 90 days. There were no intraoperative complications and no mortality. Postoperative nausea/vomiting was observed in 4 out of 12 patients up to 14 days after the procedure and 4 out of 12 patients also reported abdominal pain with food consumption. One patient reported low-grade fever within that period. Other postoperative complications such as epigastric tenderness, acute gastritis, oral thrush and an incisional hernia were observed in 5 out of the 12 patients but there were no readmissions.

Conclusion: In our Initial experience, same day discharge after LSG is safe. We observed effective short-term results and no major complications in discharging patients on the same day of surgery. Larger LSG population analysis is needed to find patient characteristics suitable for discharge on the same day.

Session: Poster Presentation

Program Number: P440

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