2016
DOI: 10.1007/s00464-016-4933-7
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Shorter than 24-h hospital stay for sleeve gastrectomy is safe and feasible

Abstract: Our evidence suggests that hospital stays after LSG beyond 24 h are unnecessary in patients with no persistent vomiting or signs of bleeding or leaks; major complications generally present either within the first 24 h or after the fifth postoperative day.

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Cited by 18 publications
(6 citation statements)
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“…However, recent trials have questioned this statement concerning hospitalization after bariatric procedures [ 50 ]. According to a retrospective analysis of 2629 patients submitted to LSG by Jakob et al [ 51 ], hospital stay beyond 24 hours is not obligatory, under the condition that there are no signs of bleeding and leak or symptoms of vomiting and nausea. The reasoning under these conclusions was that major complications occur within the first 24 hours or after the fifth postoperative day.…”
Section: Discussionmentioning
confidence: 99%
“…However, recent trials have questioned this statement concerning hospitalization after bariatric procedures [ 50 ]. According to a retrospective analysis of 2629 patients submitted to LSG by Jakob et al [ 51 ], hospital stay beyond 24 hours is not obligatory, under the condition that there are no signs of bleeding and leak or symptoms of vomiting and nausea. The reasoning under these conclusions was that major complications occur within the first 24 hours or after the fifth postoperative day.…”
Section: Discussionmentioning
confidence: 99%
“…Based on chart reviews, pain, PONV, and dehydration are the primary reasons for patients remaining in hospital after surgery or being readmitted after discharge. [23][24][25] Implementation of the ERAS protocol in our study was associated with better pain control, and decreased use of perioperative opioids. The significant decrease in opioid usage found in our study (25 versus 10 morphine equivalents intraoperatively, and 21 versus 14 morphine equivalents perioperatively) represents an important goal in ERAS protocol in bariatric surgery, as this patient population is at higher risk for addiction.…”
Section: Discussionmentioning
confidence: 66%
“…It is considered a non-complex procedure compared to gastric bypass. Therefore, these advantages are of the greatest value for patients who are primarily liable to the incidence of complications [19][20][21][22][23][24][25][26].…”
Section: Resultsmentioning
confidence: 99%