ArticleSurgical endoscopy2016
Shorter than 24-h hospital stay for sleeve gastrectomy is safe and feasible.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Same-Day Discharge after Metabolic Bariatric Surgery: Methodological Heterogeneity, Discharge Success Rates and 30-Day Safety Outcomes - A Systematic Review.Obesity surgery · 2026Pooled it
- Periprocedural Changes of Serum Biomarkers in Predicting Complications Following Bariatric Surgery for Obesity: Systematic Review and Meta-analysis.Obesity surgery · 2024Pooled it
- Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review.Surgical endoscopy · 2020Pooled it
- Does C-reactive Protein Have a Predictive Role in the Early Diagnosis of Postoperative Complications After Bariatric Surgery? Systematic Review and Bayesian Meta-analysis.Obesity surgery · 2019Pooled it
- Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis.Journal of obesity · 2018Pooled it
- Improving Hemostasis in Sleeve Gastrectomy With Alternative Stapler.JSLS : Journal of the Society of Laparoendoscopic SurgeonsTrial
- Feasibility and impact of laparoscopic sleeve gastrectomy after renal transplantation on comorbidities, graft function and quality of life.BMC surgery · 2021Article
- Leakage Risk Stratification After Laparoscopic Sleeve Gastrectomy (LSG): Is There a Role for Routine Postoperative CT Scan?Obesity surgery · 2020Article
- Hospital Length of Stay, Charges, and Costs Associated With a Diagnosis of Obesity in US Children and Youth, 2006-2016.Medical care · 2020Article
- The Impact of an Enhanced Recovery Protocol for Patients Undergoing Laparoscopic Revisional Bariatric Surgery.Obesity surgery · 2020Article
- Is routine post-sleeve gastrografin needed? Profile of 98 cases.BMC research notes · 2020Article
- Sleeve Gastrectomy after Renal Transplantation.Obesity surgery · 2018Article
- C-reactive protein, fibrinogen, and procalcitonin levels as early markers of staple line leak after laparoscopic sleeve gastrectomy in morbidly obese patients within an Enhanced Recovery After Surgery (ERAS) program.Surgical endoscopy · 2017Article
- Comment on "Shorten than 24-h Hospital Stay for Sleeve Gastrectomy Is Safe and Feasible".Obesity surgery · 2016Article
Corrections and comments
- Commented on by
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric surgery is currently the most effective treatment for morbid obesity. Short-stay procedures have gained popularity in many surgical sub-specialties. Main benefits are early discharge, minimal loss of productivity, cost reductions, and a reduced risk of infections. Such procedures can be undertaken if the patient's safety is not jeopardized. Laparoscopic sleeve gastrectomy (LSG) has consolidated itself as a primary bariatric technique. One matter of discussion relates to its associated quick postoperative recovery, as debate rages over whether there are patient benefits to hospital stays beyond 24 h.
objectiveTo assess the safety of short-stay LSG.
designCross-sectional, descriptive, retrospective analysis of a consecutive series.
methodsWe retrospectively analyzed data collected on hospital stays, readmission rates, early and midterm major complications, and re-intervention rates on 2629 primary LSG performed between February 2007 and August 2014.
resultsOut of 2629 patients, 2590 (98.52 %) were discharged within the first 24 h. Thirty-nine (1.48 %) required a longer admission: 16 (0.61 %) for vomiting and 23 (0.87 %) for bleeding, 5 (0.19 %) of whom required a second procedure within those first 24 h. Four patients (0.15 %) were readmitted for dehydration between day 2 and 4. A total of 26 leaks (0.99 %) occurred between postoperative days 6 and 41. Ten intra-abdominal hematomas (0.38 %) were diagnosed after the 7th postoperative day, and seven patients (0.27 %) required percutaneous drainage. Five abdominal collections (0.19 %), unrelated to either fistulas or bleeding, were diagnosed between day 6 and 16. No major complications occurred on postoperative days 2 through 5.
conclusionsOur evidence suggests that hospital stays after LSG beyond 24 h are unnecessary in patients with no persistent vomiting or signs of bleeding or leaks; major complications generally present either within the first 24 h or after the fifth postoperative day.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.