Ahmad, A, Mahmood, F, Massey, D, Fagbemi, O-O, Nanthakumar, N, Sokhal, B, Salgaonkar, H, Sharples, A, Marimuthu, K, Balaji, N and Rao, V (2022) Enhanced recovery and fast track surgery is applicable with good outcomes in patients undergoing bariatric surgery. British Journal of Surgery, 109 (S9). ISSN 0007-1323

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Background Fast track surgery is well established in major centres undertaking bariatric surgery Methods All patients who underwent bariatric surgery in a high volume centre were included. Patient outcomes in terms of complication rates, length of stay, one day discharge rate and 30 day readmission rate were analysed. Results 1009 patients (105 gastric band removal, 756 gastric bypass, 104 sleeve gastrectomy and 44 revision surgery) were included in the study. Demographics include: Age 46(20–77), M:F = 190–819; BMI – 44.3 (20.6–62); Wt. – 120.3 Kg (57.4–190.7). Median length of stay was 1.7 (1–23) with 79% 1 day discharge. 19 patients had complications (1.8%) with no mortality. Logistic regression analysis revealed that presence of co-morbidities (OR = 1.92; 95% CI: 1.26–2.94; p=0.002) and history of previous abdominal surgery (OR = 2.22; 95% CI: 1.27–3.89; p = 0.005) increases risk of delayed discharge. The 30 day readmission rate was significantly higher in patients who had concomitant surgery in addition to primary bariatric surgery (Chi squared test p=0.032) and patients who failed the fast track protocol (p-0.000; chi squared = 13.2) Conclusions Increased understanding of factors which can be optimised may result in even better outcomes in fast track bariatric surgery.

Item Type: Article
Additional Information: © The Author(s) 2022. Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) The final version of this article and all relevant information related to it, including copyrights, can be found on the publisher website.
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
R Medicine > RD Surgery > RD32 Operative surgery. Technique of surgical operations
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 24 Apr 2023 10:42
Last Modified: 24 Apr 2023 10:42
URI: https://eprints.keele.ac.uk/id/eprint/12201

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