+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Risk Factors for Prolonged Length of Hospital Stay and Readmissions After Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-en-Y Gastric Bypass



Risk Factors for Prolonged Length of Hospital Stay and Readmissions After Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-en-Y Gastric Bypass



Obesity Surgery 28(2): 323-332



Laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB) are most commonly performed bariatric procedures. Laparoscopic approach and enhanced recovery after surgery (ERAS) protocols managed to decrease length of hospital and morbidity. However, there are patients in whom, despite adherence to the protocol, the length of stay (LOS) remains longer than targeted. This study aimed to assess potential risk factors for prolonged LOS and readmissions. The study was a prospective observation with a post-hoc analysis of bariatric patients in a tertiary referral university teaching hospital. Inclusion criteria were undergoing laparoscopic bariatric surgery. Exclusion criteria were occurrence of perioperative complications, prior bariatric procedures, and lack of necessary data. The primary endpoints were the evaluations of risk factors for prolonged LOS and readmissions. Median LOS was 3 (2-4) days. LOS > 3 days occurred in 145 (29.47%) patients, 79 after LSG (25.82%) and 66 after LRYGB (35.48%; p = 0.008). Factors significantly prolonging LOS were low oral fluid intake, high intravenous volume of fluids administered on POD0, and every additional 50 km distance from habitual residence to bariatric center. The risk of hospital readmission rises with occurrence of intraoperative adverse events and low oral fluid intake on the day of surgery on. Risk factors for prolonged LOS are low oral fluid intake, high intravenous volume of fluids administered on POD0, and every additional 50 km distance from habitual residence. Risk factors for hospital readmission are intraoperative adverse events and low oral fluid intake on the day of surgery.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 060210968

Download citation: RISBibTeXText

PMID: 28762024

DOI: 10.1007/s11695-017-2844-x


Related references

Risk factors for complications of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. International Journal of Surgery 37: 71-78, 2016

Laparoscopic Sleeve Gastrectomy has a Lower Risk of Postoperative Bleeding Than Laparoscopic Roux-en-Y Gastric Bypass. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques 2018, 2018

Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass for acute gastric outlet obstruction after laparoscopic sleeve gastrectomy for morbid obesity. Surgery for Obesity and Related Diseases 6(5): 566-568, 2011

Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis. American Journal of Surgery 208(6): 903-10; Discussion 909-10, 2015

Laparoscopic conversion of laparoscopic Roux-en-Y gastric bypass to laparoscopic sleeve gastrectomy for intractable dumping syndrome and excessive weight loss. Surgery for Obesity and Related Diseases 9(2): E34-E37, 2013

Early post-operative complications: incidence, management, and impact on length of hospital stay. A retrospective comparison between laparoscopic gastric bypass and sleeve gastrectomy. Obesity Surgery 23(12): 2004-2012, 2014

Laparoscopic Roux-en-Y gastric bypass patients have an increased lifetime risk of repeat operations when compared to laparoscopic sleeve gastrectomy patients. Surgical Endoscopy 30(5): 1833-1838, 2017

Tu1873 - Laparoscopic Roux-En-Y Gastric Bypass Alters Gut Microbiota more than Laparoscopic Sleeve Gastrectomy. Gastroenterology 154(6): S-1043-S-1044, 2018

Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass. Obesity Surgery 2019, 2019

Laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy as revisional procedure after adjustable gastric band--a systematic review. Obesity Surgery 23(11): 1899-1914, 2014

The Effectiveness of Roux-En-Y Gastric Bypass Versus Laparoscopic Sleeve Gastrectomy and Laparoscopic Adjustable Gastric Banding in Morbidly Obese Individuals. Current Obesity Reports 1(2): 87-90, 2012

Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass: a 36-case series. Surgical Endoscopy 31(3): 1005-1011, 2016

Laparoscopic Heller's cardiomyotomy and Roux-En-Y gastric bypass for missed achalasia diagnosed after laparoscopic sleeve gastrectomy. Surgery for Obesity and Related Diseases 10(5): 1002-1004, 2015

Laparoscopic Roux-EN-Y Gastric Bypass Vs Laparoscopic Sleeve Gastrectomy A Case Control Study And 3 Year Follow-Up. 2011

Laparoscopic Roux-en-Y gastric bypass is as safe as laparoscopic sleeve gastrectomy. Results of a comparative cohort study. Annals of Medicine and Surgery 35: 38-43, 2018