Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community
Hassan, M., Mikhail, S., Ziada, H., Ibrahim, M., Mahmoud, M., Helmi, A., Saber, A. (2022). Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community. EKB Journal Management System, 89(2), 7469-7474. doi: 10.21608/ejhm.2022.276423
Maged Hassan Abdullah Hassan; Sameh Mikhail; Hisham Fahmy Mohamed Ziada; Mohamed Y. Ibrahim; Mostafa Mohamed Abdelaziz Mahmoud; Ayman Salah Aldeen Helmi; Arsany Talaat Saber. "Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community". EKB Journal Management System, 89, 2, 2022, 7469-7474. doi: 10.21608/ejhm.2022.276423
Hassan, M., Mikhail, S., Ziada, H., Ibrahim, M., Mahmoud, M., Helmi, A., Saber, A. (2022). 'Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community', EKB Journal Management System, 89(2), pp. 7469-7474. doi: 10.21608/ejhm.2022.276423
Hassan, M., Mikhail, S., Ziada, H., Ibrahim, M., Mahmoud, M., Helmi, A., Saber, A. Safety and Feasibility of Day Case Laparoscopic Sleeve Gastrectomy and One Anastomosis Gastric Bypass Surgery in the Egyptian Community. EKB Journal Management System, 2022; 89(2): 7469-7474. doi: 10.21608/ejhm.2022.276423

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

The Egyptian Journal of Hospital Medicine
Article 203, Volume 89, Issue 2, October 2022, Page 7469-7474  XML PDF (602.93 K)
DOI: 10.21608/ejhm.2022.276423
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Authors
Maged Hassan Abdullah Hassan* 1; Sameh Mikhail1; Hisham Fahmy Mohamed Ziada2; Mohamed Y. Ibrahim1; Mostafa Mohamed Abdelaziz Mahmoud1; Ayman Salah Aldeen Helmi1; Arsany Talaat Saber1
1Departments of 1General Surgery
22Anesthesia and Critical Care, Faculty of Medicine, Cairo University, Egypt
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.
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