Article ; Online: Implementation of a same-day discharge bariatric surgery program and follow-up with a telemonitoring platform.
Cirugia espanola
2023 Volume 101, Issue 12, Page(s) 841–846
Abstract: Introduction: Some groups have initiated outpatient bariatric surgery programs in selected patients, publishing good results after sleeve gastrectomy. Recent studies show that outpatient surgery is also feasible and safe in Roux-en-Y gastric bypass. The ...
| Abstract | Introduction: Some groups have initiated outpatient bariatric surgery programs in selected patients, publishing good results after sleeve gastrectomy. Recent studies show that outpatient surgery is also feasible and safe in Roux-en-Y gastric bypass. The aim of this paper is to describe and analyze the results of our initial experience after the implementation of a same-day discharge bariatric surgery program using a telemonitoring system. Methods: We have completed a prospective, observational study with 14 consecutive, selected patients undergoing primary bariatric surgery (sleeve gastrectomy or Roux-en-Y gastric bypass) at a single center from April 2021 to February 2023, with home follow-up using the REVITA® telemonitoring platform (HI Iberia, S.A.) and the Home Hospitalization Unit. Results: From April 2021 to February 2023, 14 patients were selected for this program, which meant 7.3% of the total of 191 patients who underwent bariatric surgery during this period. Ten out of the 14 patients selected completed the circuit (71.4%), 4 of whom consulted the emergency department within the first 24 h (40%). There were no serious complications, readmissions or re-operations typical of bariatric surgery. The estimated savings per patient who completed the circuit was 762. Conclusion: Bariatric surgery without hospital admission is feasible and safe in selected patients using a telemonitoring platform and with the support of a home hospitalization unit. |
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| MeSH term(s) | Humans ; Obesity, Morbid/surgery ; Obesity, Morbid/complications ; Follow-Up Studies ; Patient Discharge ; Prospective Studies ; Bariatric Surgery/methods |
| Language | English |
| Publishing date | 2023-09-30 |
| Publishing country | Spain |
| Document type | Observational Study ; Journal Article |
| ISSN | 2173-5077 |
| ISSN (online) | 2173-5077 |
| DOI | 10.1016/j.cireng.2023.09.005 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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