Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers
Background Due to constraints on resources and capacity, as well as advances in surgical technique and care, there has been progressive change toward converting surgical procedures to the outpatient setting when feasible. This study was designed to investigate the safety of laparoscopic adjustable g...
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| Veröffentlicht in: | Obesity surgery 2010-04, Vol.20 (4), p.415-422 |
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| creator | Cobourn, Chris Mumford, David Chapman, Mary Ann Wells, Leandra |
| description | Background
Due to constraints on resources and capacity, as well as advances in surgical technique and care, there has been progressive change toward converting surgical procedures to the outpatient setting when feasible. This study was designed to investigate the safety of laparoscopic adjustable gastric banding (LAGB) as an outpatient procedure for morbid obesity in Canada.
Methods
This retrospective analysis included consecutive patients who underwent outpatient LAGB at the Surgical Weight Loss Centre in Ontario, Canada, beginning with our initial experience in February 2005 and continuing to July 2009. Eligible patients were morbidly obese adults whose outpatient clinic surgery had been performed by one of two experienced surgeons.
Results
A total of 1,641 patients were included in this analysis. The average presurgical body mass index was 46.7 kg/m
2
(range 35.0 to 79 kg/m
2
). Fifteen patients (0.91%) experienced minor complications during surgery or within 30 days of surgery (dysphagia,
n
= 5; wound infection,
n
= 3; port infection,
n
= 2; all other complications occurred in one patient each). Four patients required transfer to hospital from the clinic on the day of surgery, and three were admitted. None of the complications were serious and all were resolved. The device was explanted in two patients. The average time from sedation to discharge was |
| doi_str_mv | 10.1007/s11695-009-0065-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733793574</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1983756321</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-9bdca66f4ec8b266df240df94f4fbda1e8f99c1659e203272152fd10420ce7f63</originalsourceid><addsrcrecordid>eNp1kEFLwzAUx4Mobk4_gBcpXjxVX17apDlq0TkY7DA9hyxNRsfW1qQ9-O3N2FQQPIRHyO_9X96PkGsK9xRAPARKucxTABkPz1NxQsZUQJFChsUpGYPkkBYS2YhchLABQMoRz8kIY7cAlGNSznWnfRtM29UmmerQ-1ifdFPVzTqZhWSpnU3qJlkMfaf72jZ9shz8ujZ6m5TxZn24JGdOb4O9OtYJeX95fitf0_liOisf56lhAvpUriqjOXeZNcUKOa8cZlA5mbnMrSpNbeGkNJTn0iIwFEhzdBWNu4CxwnE2IXeH3M63H4MNvdrVwdjtVje2HYISjAnJcpFF8vYPuWkH38TPKUSGmOXAIkQPkIn7B2-d6ny90_5TUVB7v-rgV0W_au83DpiQm2PwsNrZ6qfjW2gE8ACE-NSsrf-d_H_qFzJZhDA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223224503</pqid></control><display><type>article</type><title>Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Cobourn, Chris ; Mumford, David ; Chapman, Mary Ann ; Wells, Leandra</creator><creatorcontrib>Cobourn, Chris ; Mumford, David ; Chapman, Mary Ann ; Wells, Leandra</creatorcontrib><description>Background
Due to constraints on resources and capacity, as well as advances in surgical technique and care, there has been progressive change toward converting surgical procedures to the outpatient setting when feasible. This study was designed to investigate the safety of laparoscopic adjustable gastric banding (LAGB) as an outpatient procedure for morbid obesity in Canada.
Methods
This retrospective analysis included consecutive patients who underwent outpatient LAGB at the Surgical Weight Loss Centre in Ontario, Canada, beginning with our initial experience in February 2005 and continuing to July 2009. Eligible patients were morbidly obese adults whose outpatient clinic surgery had been performed by one of two experienced surgeons.
Results
A total of 1,641 patients were included in this analysis. The average presurgical body mass index was 46.7 kg/m
2
(range 35.0 to 79 kg/m
2
). Fifteen patients (0.91%) experienced minor complications during surgery or within 30 days of surgery (dysphagia,
n
= 5; wound infection,
n
= 3; port infection,
n
= 2; all other complications occurred in one patient each). Four patients required transfer to hospital from the clinic on the day of surgery, and three were admitted. None of the complications were serious and all were resolved. The device was explanted in two patients. The average time from sedation to discharge was <4 hours (h).
Conclusions
The ability to treat patients within 4 h and the extremely low complication rates reported here contribute to a growing literature supporting the safe performance of LAGB in an outpatient setting for the treatment of morbid obesity.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-009-0065-7</identifier><identifier>PMID: 20077029</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Ambulatory Surgical Procedures - statistics & numerical data ; Clinical Research ; Female ; Gastrointestinal surgery ; Gastroplasty - statistics & numerical data ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity, Morbid - surgery ; Ontario ; Outpatient care facilities ; Patient safety ; Retrospective Studies ; Surgery ; Surgical outcomes ; Treatment Outcome ; Young Adult</subject><ispartof>Obesity surgery, 2010-04, Vol.20 (4), p.415-422</ispartof><rights>Springer Science + Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-9bdca66f4ec8b266df240df94f4fbda1e8f99c1659e203272152fd10420ce7f63</citedby><cites>FETCH-LOGICAL-c370t-9bdca66f4ec8b266df240df94f4fbda1e8f99c1659e203272152fd10420ce7f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-009-0065-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-009-0065-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20077029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cobourn, Chris</creatorcontrib><creatorcontrib>Mumford, David</creatorcontrib><creatorcontrib>Chapman, Mary Ann</creatorcontrib><creatorcontrib>Wells, Leandra</creatorcontrib><title>Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Due to constraints on resources and capacity, as well as advances in surgical technique and care, there has been progressive change toward converting surgical procedures to the outpatient setting when feasible. This study was designed to investigate the safety of laparoscopic adjustable gastric banding (LAGB) as an outpatient procedure for morbid obesity in Canada.
Methods
This retrospective analysis included consecutive patients who underwent outpatient LAGB at the Surgical Weight Loss Centre in Ontario, Canada, beginning with our initial experience in February 2005 and continuing to July 2009. Eligible patients were morbidly obese adults whose outpatient clinic surgery had been performed by one of two experienced surgeons.
Results
A total of 1,641 patients were included in this analysis. The average presurgical body mass index was 46.7 kg/m
2
(range 35.0 to 79 kg/m
2
). Fifteen patients (0.91%) experienced minor complications during surgery or within 30 days of surgery (dysphagia,
n
= 5; wound infection,
n
= 3; port infection,
n
= 2; all other complications occurred in one patient each). Four patients required transfer to hospital from the clinic on the day of surgery, and three were admitted. None of the complications were serious and all were resolved. The device was explanted in two patients. The average time from sedation to discharge was <4 hours (h).
Conclusions
The ability to treat patients within 4 h and the extremely low complication rates reported here contribute to a growing literature supporting the safe performance of LAGB in an outpatient setting for the treatment of morbid obesity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Surgical Procedures - statistics & numerical data</subject><subject>Clinical Research</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Gastroplasty - statistics & numerical data</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Ontario</subject><subject>Outpatient care facilities</subject><subject>Patient safety</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEFLwzAUx4Mobk4_gBcpXjxVX17apDlq0TkY7DA9hyxNRsfW1qQ9-O3N2FQQPIRHyO_9X96PkGsK9xRAPARKucxTABkPz1NxQsZUQJFChsUpGYPkkBYS2YhchLABQMoRz8kIY7cAlGNSznWnfRtM29UmmerQ-1ifdFPVzTqZhWSpnU3qJlkMfaf72jZ9shz8ujZ6m5TxZn24JGdOb4O9OtYJeX95fitf0_liOisf56lhAvpUriqjOXeZNcUKOa8cZlA5mbnMrSpNbeGkNJTn0iIwFEhzdBWNu4CxwnE2IXeH3M63H4MNvdrVwdjtVje2HYISjAnJcpFF8vYPuWkH38TPKUSGmOXAIkQPkIn7B2-d6ny90_5TUVB7v-rgV0W_au83DpiQm2PwsNrZ6qfjW2gE8ACE-NSsrf-d_H_qFzJZhDA</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Cobourn, Chris</creator><creator>Mumford, David</creator><creator>Chapman, Mary Ann</creator><creator>Wells, Leandra</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100401</creationdate><title>Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers</title><author>Cobourn, Chris ; Mumford, David ; Chapman, Mary Ann ; Wells, Leandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-9bdca66f4ec8b266df240df94f4fbda1e8f99c1659e203272152fd10420ce7f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Surgical Procedures - statistics & numerical data</topic><topic>Clinical Research</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Gastroplasty - statistics & numerical data</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Ontario</topic><topic>Outpatient care facilities</topic><topic>Patient safety</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cobourn, Chris</creatorcontrib><creatorcontrib>Mumford, David</creatorcontrib><creatorcontrib>Chapman, Mary Ann</creatorcontrib><creatorcontrib>Wells, Leandra</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cobourn, Chris</au><au>Mumford, David</au><au>Chapman, Mary Ann</au><au>Wells, Leandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>20</volume><issue>4</issue><spage>415</spage><epage>422</epage><pages>415-422</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Due to constraints on resources and capacity, as well as advances in surgical technique and care, there has been progressive change toward converting surgical procedures to the outpatient setting when feasible. This study was designed to investigate the safety of laparoscopic adjustable gastric banding (LAGB) as an outpatient procedure for morbid obesity in Canada.
Methods
This retrospective analysis included consecutive patients who underwent outpatient LAGB at the Surgical Weight Loss Centre in Ontario, Canada, beginning with our initial experience in February 2005 and continuing to July 2009. Eligible patients were morbidly obese adults whose outpatient clinic surgery had been performed by one of two experienced surgeons.
Results
A total of 1,641 patients were included in this analysis. The average presurgical body mass index was 46.7 kg/m
2
(range 35.0 to 79 kg/m
2
). Fifteen patients (0.91%) experienced minor complications during surgery or within 30 days of surgery (dysphagia,
n
= 5; wound infection,
n
= 3; port infection,
n
= 2; all other complications occurred in one patient each). Four patients required transfer to hospital from the clinic on the day of surgery, and three were admitted. None of the complications were serious and all were resolved. The device was explanted in two patients. The average time from sedation to discharge was <4 hours (h).
Conclusions
The ability to treat patients within 4 h and the extremely low complication rates reported here contribute to a growing literature supporting the safe performance of LAGB in an outpatient setting for the treatment of morbid obesity.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20077029</pmid><doi>10.1007/s11695-009-0065-7</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Obesity surgery, 2010-04, Vol.20 (4), p.415-422 |
| issn | 0960-8923 1708-0428 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Ambulatory Surgical Procedures - statistics & numerical data Clinical Research Female Gastrointestinal surgery Gastroplasty - statistics & numerical data Humans Laparoscopy Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - surgery Ontario Outpatient care facilities Patient safety Retrospective Studies Surgery Surgical outcomes Treatment Outcome Young Adult |
| title | Laparoscopic Gastric Banding Is Safe in Outpatient Surgical Centers |
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