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Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity.
Surg Obes Relat Dis. 2008 Mar-Apr; 4(2):104-9.SO

Abstract

BACKGROUND

Patients can be symptomatic after laparoscopic Roux-en-Y gastric bypass because of either surgical complications or physiologic changes and adjustment to the new anatomy. The aim of this study was to evaluate the factors that could influence the rate of postoperative emergency room admissions (ERAs) and the clinical implication of these visits for patients who have undergone laparoscopic Roux-en-Y gastric bypass.

METHODS

The medical records of patients who underwent laparoscopic Roux-en-Y gastric bypass for morbid obesity from 2001 to 2004 were retrospectively reviewed. The data of patients with a history of an ERA after surgery was compared with the data of patients without a history of ERAs. The data collected included demographics, weight, body mass index, operative time, and more. The ERAs were subdivided into early ERAs and late ERAs, and the data were analyzed further.

RESULTS

Of 733 patients, 228 (31.1%) had a history of ERAs. Patients with early postoperative complication (<7 days after the procedure) had a greater rate of ERAs (60.9% versus 30.1%, P <.05). The operative time was significantly longer in the ERA group (91.4 versus 86.5 min). The most frequent complaint in the emergency room was abdominal pain (61.4%) followed by vomiting (35.5%). Gastric outlet obstruction was the most frequent cause of an ERA within 2 weeks after surgery. Most patients were treated conservatively.

CONCLUSION

Our results suggest that the rate of potential ERAs should not be disregarded. A prolonged operative time and early postoperative complications were significant predictors for late ERAs. Abdominal pain with or without vomiting was the most common presenting symptom. Most patients can be treated conservatively.

Authors+Show Affiliations

Department of Surgery, Bariatric Institute and Section of Minimal Invasive Surgery, Cleveland Clinic Florida, Weston, Florida, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17974500

Citation

Cho, Minyoung, et al. "Emergency Room Visits After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 4, no. 2, 2008, pp. 104-9.
Cho M, Kaidar-Person O, Szomstein S, et al. Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Obes Relat Dis. 2008;4(2):104-9.
Cho, M., Kaidar-Person, O., Szomstein, S., & Rosenthal, R. J. (2008). Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 4(2), 104-9.
Cho M, et al. Emergency Room Visits After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity. Surg Obes Relat Dis. 2008;4(2):104-9. PubMed PMID: 17974500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity. AU - Cho,Minyoung, AU - Kaidar-Person,Orit, AU - Szomstein,Samuel, AU - Rosenthal,Raul J, Y1 - 2007/11/05/ PY - 2006/11/10/received PY - 2007/04/10/revised PY - 2007/05/25/accepted PY - 2007/11/3/pubmed PY - 2008/6/27/medline PY - 2007/11/3/entrez SP - 104 EP - 9 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 4 IS - 2 N2 - BACKGROUND: Patients can be symptomatic after laparoscopic Roux-en-Y gastric bypass because of either surgical complications or physiologic changes and adjustment to the new anatomy. The aim of this study was to evaluate the factors that could influence the rate of postoperative emergency room admissions (ERAs) and the clinical implication of these visits for patients who have undergone laparoscopic Roux-en-Y gastric bypass. METHODS: The medical records of patients who underwent laparoscopic Roux-en-Y gastric bypass for morbid obesity from 2001 to 2004 were retrospectively reviewed. The data of patients with a history of an ERA after surgery was compared with the data of patients without a history of ERAs. The data collected included demographics, weight, body mass index, operative time, and more. The ERAs were subdivided into early ERAs and late ERAs, and the data were analyzed further. RESULTS: Of 733 patients, 228 (31.1%) had a history of ERAs. Patients with early postoperative complication (<7 days after the procedure) had a greater rate of ERAs (60.9% versus 30.1%, P <.05). The operative time was significantly longer in the ERA group (91.4 versus 86.5 min). The most frequent complaint in the emergency room was abdominal pain (61.4%) followed by vomiting (35.5%). Gastric outlet obstruction was the most frequent cause of an ERA within 2 weeks after surgery. Most patients were treated conservatively. CONCLUSION: Our results suggest that the rate of potential ERAs should not be disregarded. A prolonged operative time and early postoperative complications were significant predictors for late ERAs. Abdominal pain with or without vomiting was the most common presenting symptom. Most patients can be treated conservatively. SN - 1550-7289 UR - https://www.unboundmedicine.com/medline/citation/17974500/Emergency_room_visits_after_laparoscopic_Roux_en_Y_gastric_bypass_for_morbid_obesity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(07)00500-X DB - PRIME DP - Unbound Medicine ER -