Background

There is limited data on incidence of readmission for dehydration, failure to thrive, and bleeding following same day sleeve gastrectomy (SDSG). We aimed to assess the safety and outcomes following implementation of a SDSG program at our institution.

Methods

We included all patients who qualified and agreed to a SDSG from 12/7/21 to 12/8/23 at the University of Colorado. Patients were eligible for SDSG if they were 18-60 years old, and had a BMI <50. Exclusion criteria are outlined in Figure 1.

Results

A total of 26 patients were included. The average age of the study patients was 38 years old, with a mean BMI of 43. Most patients (96%; 25/26) underwent a laparoscopic sleeve gastrectomy, and one patient had a robotic sleeve gastrectomy. Seven patients (27%, 7/26) underwent concomitant hiatal hernia repair. There were four unplanned admissions due to (15%, 4/26) for a combination of pain control issues (50%, 2/4), nausea/vomiting (50%, 2/4), and respiratory monitoring (50%, 2/4). In the remaining patients (85%, 22/26), the average length of stay was 5.3 hours prior to discharge. Five patients (19%; 5/26) had remote monitoring following surgery. There were no gastric leaks or postoperative hematomas. There were no readmissions for dehydration or failure to thrive; however, there was one readmission for postoperative pulmonary embolism.

Conclusions

Our pilot study demonstrates the safety of SDSG even with concurrent hiatal hernia repair.