Evidence map›Paper›PMID 36271061›Full record

ArticleSurgical endoscopy2023

Ambulatory sleeve gastrectomy: a prospective feasibility and comparative study of early postoperative morbidity.

Safiya Al-Masrouri, Abdulaziz Alnumay, Phil Vourtzoumis, Olivier Court, Sebastian Demyttenaere, Liane S Feldman, Amin Andalib

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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Safiya Al-MasrouriDepartment of Surgery, Center for Bariatric Surgery, McGill University, Montreal, QC, Canada.
Abdulaziz AlnumayDepartment of Surgery, Center for Bariatric Surgery, McGill University, Montreal, QC, Canada.
Phil VourtzoumisDepartment of Surgery, Center for Bariatric Surgery, McGill University, Montreal, QC, Canada.
Olivier CourtDepartment of Surgery, Center for Bariatric Surgery, McGill University, Montreal, QC, Canada.
Sebastian DemyttenaereDepartment of Surgery, Center for Bariatric Surgery, McGill University, Montreal, QC, Canada.
Liane S FeldmanSteinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Center, Montreal General Hospital, 1650 Cedar Avenue, Room: E16-165A, Montreal, QC, H3G 1A4, Canada.
Amin AndalibDepartment of Surgery, Center for Bariatric Surgery, McGill University, Montreal, QC, Canada. amin.andalib@mcgill.ca.ORCID 0000-0003-4198-8310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven its short procedure time and low morbidity, there is enthusiasm to perform sleeve gastrectomy (SG) in an outpatient setting. However, most relevant studies include an overnight stay at a medical facility (≤ 24-h). Hence, we investigated the feasibility and safety of a same-day discharge (SDD) protocol for laparoscopic SG.

methodsIn a prospective pilot study (02/01/2021-02/28/2022), all patients planned for SG were screened for eligibility. Patients met the inclusion criteria if they were ≤ 65 years old, without major comorbidity, and lived close to the hospital. Postoperatively, patients who met discharge criteria were sent home directly from the recovery room. Patients were called the same night and the next morning. Feasibility was defined as discharge on the day of surgery without emergency department (ED) visit or readmission within 24-h. Secondary outcomes, including 90-day morbidity, were compared to patients who met inclusion criteria but chose a same-day admission (SDA) approach during the same study period. Descriptive statistics are displayed as count (percentage) and median (interquartile range).

resultsA total of 320 patients were planned for SG during the study period, 229 of whom met eligibility criteria and underwent SG with 56 agreeing to SDD-SG while 173 opted for SDA-SG. Baseline characteristics were all similar between both groups except for obstructive sleep apnea being more prevalent in SDA-SG group (38.2% vs. 16.1%; P < 0.001). Operative characteristics including procedure time were similar between both groups. Successful SDD-SG was achieved in 54(96%) of patients with a median of 6.0(1.0) hours of stay in the recovery room. Ninety-day morbidity was similar between SDD-SG and SDA-SG groups (1.8% vs. 6.9%, respectively; P = 0.196).

conclusionA SDD protocol for laparoscopic SG was feasible and safe in selected patients. Larger studies that evaluate patient reported outcomes and include bypass-type procedures may be needed to guide safe use of ambulatory bariatric surgery.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidAgedFeasibility StudiesGastrectomyHumansMorbidityPilot ProjectsPostoperative ComplicationsProspective StudiesRetrospective StudiesTreatment OutcomeAmbulatory bariatric surgeryBariatric surgeryDay surgerySame-day dischargeSleeve gastrectomy

Identifiers

PMID36271061
PMCPMC9589665

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Registered trials

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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.