ArticleSurgical endoscopy2025
Outcomes comparison for same-day laparoscopic Roux-en-Y gastric bypass: a propensity score matched analysis utilizing the MBSAQIP PUF.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients undergoing gastric bypass are typically admitted overnight, however same-day discharge after Roux-en-Y Gastric Bypass (SDD-RYGB) procedure may lead to improved patient throughput and satisfaction. The safety profile of this approach has not been well studied. Therefore, we aimed to determine the perioperative and 30-day outcomes in patients undergoing SDD-RYGB compared to patients who required an overnight admission.
methodsThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was used for years 2015-2022. Propensity score matching (PSM) was conducted using clinically and statistically significant preoperative characteristics to create two patient groups (SDD-RYGB and overnight admission). Postoperative outcomes were analyzed.
resultsA total of 4845 patients underwent SDD-RYGB. PSM yielded 4843 patient pairs. PSM sensitivity analysis was completed and demonstrated adequate matching between both groups. After PSM, patients undergoing the SDD-RYGB had an acceptable 30-day postoperative complication rate as compared to those with an overnight admission. Patients who had an overnight admission did have an increased rate of concurrent adhesiolysis during their RYGB procedure (3.92% vs 2.89%; p = 0.006). SDD-RYGB patients experienced a lower rate of postoperative intervention (0.89% vs 1.36%; p = 0.035), with similar rates of readmission (3.74% vs 4.10%; p = 0.425), re-operation (1.24% vs 0.93%; p = 0.172), and death (0.19% vs 0.08%; p = 0.267). Patients also experienced equal rates of postoperative bleeding (0.56% vs 0.39%; p = 0.302) and postoperative leak (0.19% vs 0.25%; p = 0.663). Patients undergoing SDD-RYGB were more likely to require postoperative outpatient dehydration treatment (5.66% vs 3.86%; p < 0.001).
conclusionsSDD-RYGB is generating continued interest and in appropriately selected patients has similar rates of major morbidity compared to those who are admitted overnight for 1-2 days. SDD-RYGB may have the potential to reduce hospital burden and cost while providing patients with a safe operation and expeditious recovery.
Indexed as
Identifiers
40576775What 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.