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276423

Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community

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Last updated: 24 Dec 2024

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Abstract

Background: Globally, the incidence of severe obesity and the comorbidities that it causes has increased. A patient who undergoes day-case surgery (DCS) is admitted and released the same day. The practicality and safety of using DCS during laparoscopic sleeve gastrectomy (LSG) and one anastomosis gastric bypass (OAGB) procedures have already been discussed and are almost established. As of yet, no studies have looked into this problem for OAGB. Objective: The present study aimed to evaluate the safety and feasibility of DC-OAGB in the Egyptian community and to compare it with DCS-LSG. Patients and methods: This is a prospective non-randomized controlled clinical trial that was conducted on 100 patients scheduled for bariatric surgery. Patients eligible for day-case surgery were included. The study patients were non-randomly equally allocated to the DC-LSG group or the DC-OAGB group. Patients' operative data were recorded. They were followed by telephone for 4 days, and were followed again 15 days and 1 month later, and their satisfaction with DC bariatric surgery was assessed.  Results: There was an equal same-day discharge rate (96%) in both groups. The total readmission rate was 1%, while for DC-LSG and DC-OAGB separately; the rates were 2% and 0%, respectively. The patients in the current study presented a high satisfaction rate. No statistically significant differences were found between the two groups in the postoperative outcome. Conclusion: DC-OAGB as well as DC-LSG showed feasibility and safety. Patients for the DCS should be properly selected to avoid elevated morbidity and mortality rates. Patients were highly satisfied with the DCS protocol.

DOI

10.21608/ejhm.2022.276423

Authors

First Name

Maged Hassan Abdullah

Last Name

Hassan

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Affiliation

Departments of 1General Surgery

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Orcid

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First Name

Sameh

Last Name

Mikhail

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Affiliation

Departments of 1General Surgery

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First Name

Hisham Fahmy Mohamed

Last Name

Ziada

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Affiliation

2Anesthesia and Critical Care, Faculty of Medicine, Cairo University, Egypt

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Orcid

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First Name

Mohamed Y.

Last Name

Ibrahim

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Affiliation

Departments of 1General Surgery

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First Name

Mostafa Mohamed Abdelaziz

Last Name

Mahmoud

MiddleName

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Affiliation

Departments of 1General Surgery

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First Name

Ayman Salah Aldeen

Last Name

Helmi

MiddleName

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Affiliation

Departments of 1General Surgery

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First Name

Arsany Talaat

Last Name

Saber

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Affiliation

Departments of 1General Surgery

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Orcid

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-27

Publish Date

2022-10-01

Page Start

7,469

Page End

7,474

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_276423.html

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https://ejhm.journals.ekb.eg/service?article_code=276423

Order

203

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community

Details

Type

Article

Created At

22 Jan 2023