ArticleObesity surgery2012
Fast-track laparoscopic gastric bypass surgery: outcomes and lessons from a bariatric surgery service in the United Kingdom.
Article in Obesity surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Fast-track laparoscopic bariatric surgery: a systematic review.Updates in surgery · 2013Pooled it
- Magnesium Sulfate Reduced Opioid Consumption in Obese Patients Undergoing Sleeve Gastrectomy: a Prospective, Randomized Clinical Trial.Obesity surgery · 2018Trial
- Mid-term Results of an ERAS Program of Bariatric Surgery in a Tertiary Referral Center.World journal of surgery · 2023Article
- Implementing novel modalities into an institutional enhanced recovery after bariatric surgery (ERABS) protocol.Surgical endoscopy · 2023Article
- S136-operationalizing an enhanced recovery protocol after bariatric surgery: single institutional pilot experience forging data-driven standard work.Surgical endoscopy · 2023Article
- Five Years of MBSAQIP Data: Characteristics, Outcomes, and Trends for Patients with Super-obesity.Obesity surgery · 2022Article
- Five-Year Outcomes in Bariatric Surgery Patients.Medicina (Kaunas, Lithuania) · 2020Article
- Fast Track Program in Conversion Bariatric Surgery, as Safe as in Primary Bariatric Surgery?Obesity surgery · 2020Article
- The Role of Minimally Invasive and Endoscopic Technologies in Morbid Obesity Treatment: Review and Critical Appraisal of the Current Clinical Practice.Obesity surgery · 2020Review
- Enhanced Recovery after Bariatric Surgery: 202 Consecutive Patients in an Italian Bariatric Center.Obesity surgery · 2019Article
- Does the Implementation of Enhanced Recovery After Surgery (ERAS) Guidelines Improve Outcomes of Bariatric Surgery? A Propensity Score Analysis in 464 Patients.Obesity surgery · 2019Article
- Observational
- Factors Predicting Length of Stay Following Bariatric Surgery: Retrospective Review of a Single UK Tertiary Centre Experience.Obesity surgery · 2018Article
- A Single-center Experience Examining the Length of Stay and Safety of Early Discharge After Laparoscopic Roux-en-Y Gastric Bypass Surgery.Obesity surgery · 2018Article
- Perioperative Antiemetic Therapy for Fast-Track Laparoscopic Bariatric Surgery.Obesity surgery · 2018Observational
- Same-Day Discharge after Laparoscopic Roux-en-Y Gastric Bypass: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database.Journal of the American College of Surgeons · 2018Article
- The Standardized Postoperative Checklist for Bariatric Surgery; a Tool for Safe Early Discharge?Obesity surgery · 2017Article
- Perioperative Analgesia for Fast-Track Laparoscopic Bariatric Surgery.Obesity surgery · 2017Observational
- Enhanced Recovery after Bariatric Surgery in the Severely Obese, Morbidly Obese, Super-Morbidly Obese and Super-Super Morbidly Obese Using Evidence-Based Clinical Pathways: a Comparative Study.Obesity surgery · 2017Article
- Do Changes in Perioperative and Postoperative Treatment Protocol Influence the Frequency of Pulmonary Complications? A Retrospective Analysis of Four Different Bariatric Groups.Obesity surgery · 2017Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic Roux-en-Y gastric bypass (LRYGB) is a potentially complicated surgery with significant hospitalisation, especially during the learning curve. There are inadequate data on fast-track LRYGB in relation to learning curve. This study highlights the outcomes of a fast-track LRYGB service.
methodsThis observational study examined the perioperative outcome data of 406 consecutive LRYGB patients over a 4-year period. Perioperative outcome data were analysed and compared between severe obesity, morbid obesity and super obesity groups.
resultsMean BMI was 48.6 ± 8.3, mean age was 42 years and male to female ratio was 1:4. About 4% of patients had concurrent ventral hernia repair. Median duration of combined LRYGB and ventral hernia repair was 115 min, compared to 95 min for LRYGB alone (p = 0.09). Intraoperative complication rate was 0.5%. Postoperative complications occurred in 3.4% of patients with 60% within 24 h. The complication rate per obesity group was <7% and similar between groups (p = 0.4). There was no perioperative mortality. More super obese patients received postoperative intensive care compared to others (p = 0.001). Mean length of hospital stay was similar between obesity groups and decreased from 2 to 1 day over 2 years. There was a learning curve of 109 cases over 2 years.
conclusionLRYGB is a safe technique of bariatric surgery with low risk of perioperative complications. Establishing a fast-track LRYGB service requires a learning curve of 100 cases, and a good indicator is length of hospital stay, which decreases as the service matures. Most LRYGB patients can be safely discharged by 24 h.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.