• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Early Reoperation and Readmission After Foregut Surgery for PEH and GERD

Daniel Boyett, MD, Daniela Molena, MD, Miloslawa Stem, MS, Anne O Lidor, MD, MPH. Johns Hopkins

Introduction: Current literature regarding reoperation and readmission for foregut surgery are limited due to small sample size and single center study designs. The aim of this study was to identify the incidence and factors associated with early related reoperation as well as underlying reasons for readmission following foregut surgery for PEH or GERD.

Methods and Procedures: Patients who underwent foregut surgery for GERD or PEH between 2010 and 2012 were identified from the Truven Health MarketScan database. The primary outcome was related reoperation and all cause readmission was the secondary outcome. Multivariable logistic regression analysis was used to identify factors associated with reoperation.

Results: 25,666 patients were identified and 72.9% had their initial surgery performed in an outpatient setting. Median follow up time was 16.5 months. 3,029 (11.8%) patients were readmitted during the study period on average 4.2 months postoperatively. Of these readmissions, 11.5% had recurrence of their preoperative condition, 6.07% had digestive system complications, and 3.9% had infectious complications. Of patients who required surgery during their first readmission (1,579, 6.2%), 18.6% underwent a revisional procedure. The overall related reoperation rate was 1.8% and was performed at a median of 4.5 months postoperatively. On adjusted analysis, factors associated with related reoperation included primary surgery performed in an inpatient setting and advanced age (Table).

Conclusion: Early reoperation and readmissions are significant morbidities associated with foregut surgery for PEH and GERD. This study reveals an association between these significant morbidities and with the primary procedure being performed in an inpatient setting and advanced patient age.

Factors associated with related reoperation following foregut surgery for PEH or GERD
Characteristric OR (95% CI) p
Setting, n (%)    
     Outpatient Ref  
     Inpatient 2.80 (2.24-3.48) <0.001
Age, n (%), y    
     18-34 Ref  
     35-44 1.34 (0.91-1.96) 0.141
     45-54 1.60 (1.12-2.30) 0.011
     55-64 1.57 (1.10-2.34) 0.013
Procedure type, n (%)    
     Lap Nissen Ref  
     Open Nissen 1.20 (0.86-1.68) 0.278
     Lap PEH 0.85 (0.68-1.06) 0.140
     Open PEH 0.87 (0.59-1.30) 0.504
106

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons