Emergency department visits after bariatric surgery
Yükleniyor...
Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
EDIZIONI MINERVA MEDICA
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
BACKGROUND: Although bariatric surgery (BS) has an excellent safety profile, postoperative complications have undoubtedly increased due to the rise in the amount of operations performed annually. In parallel, the number of visits to the Emergency Department (ED) after surgery is increasing. The aim of this study was to describe the frequency, and the risk factors associated with postoperative ED visits after BS. METHODS: This study included patients who had undergone different types of BS procedures between June 2016 and December 2019. Patients’ prior surgery types, ED visiting timings, main complaints, symptoms and the diagnoses they received, readmissions, and the interventions they had were noted and compared. RESULTS: A total of 408 patients operated on using either the robotic or laparoscopic method due to morbid obesity, including 91 (22.3%) SG, 231 (56.6%) OAGB, 62 (15.2%) SADS-p, and 24 (5.8%) RS, were included into the study. During follow-up, fifty-three of the 408 patients applied to the Emergency Department 62 times with different complaints. ED admission rates in the OAGB group were significantly higher (P=0.04). While the most common complaint seen in the patients admitted to the ED after BS was localized abdominal pain with 25.8%, the most common diagnosis of the patients was cholelithiasis with a rate of 16.1%. CONCLUSIONS: ED visits after BS usually continue intensively during the first year. Most of these applications can be prevented with regular outpatient follow-ups. Some of these require life-saving surgery in emergency conditions and do not allow the patient to be transferred to a bariatric center.
Açıklama
Anahtar Kelimeler
Bariatric Surgery, Emergency Service, Hospital, Patient Readmission, Obesity, Morbid, Gastrectomy, Gastric Bypass
Kaynak
Minerva Surgery
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
76
Sayı
1
Künye
Gundogdu E, Guldogan E, Ozmen M. Emergency Department visits after bariatric surgery. Minerva Surg
2021;76:50-6. DOI: 10.23736/S2724-5691.20.08554-5
