Bariatric Surgery

Latest Issue of OR Manager
December 2017

Bariatric surgery patients at risk for new prolonged opioid use

Editor's Note Bariatric surgery patients have a much higher rate of newly persistent postoperative opioid use than general surgery patients, finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Of 14,063 bariatric surgery patients in the Michigan Bariatric Surgery Collaborative who…

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By: Judy Mathias
October 24, 2017
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Study: Bariatric surgery lowers cancer risk

Editor's Note In this large multi-site study, bariatric surgery was associated with a lower risk of cancer, particularly obesity-associated cancers, such as postmenopausal breast cancer, endometrial cancer, and colon cancer. The study included five study sites with 22,198 patients who had bariatric surgery and 66,427 nonsurgical matched subjects. At a…

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By: Judy Mathias
September 26, 2017
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Gastric bypass found to be durable long term

Editor's Note This 12-year study showed long-term durability of weight loss and effective remission and prevention of type 2 diabetes, hypertension, and dyslipidemia after Roux-en-Y gastric bypass surgery. For the study, 1,156 severely obese patients were divided into three groups: 418 who sought and had Roux-en-Y gastric bypass (surgery group),…

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By: Judy Mathias
September 21, 2017
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Fluid monitoring process helps bariatric surgery patients drink more water

Editor's Note A well-structured water distribution and documentation process helped bariatric surgery patients drink more water and improve postoperative outcomes, finds this study presented July 23 at the 2017 American College of Surgeons Quality and Safety Conference. The average baseline water intake for 12 patients was 381.5 mL during a…

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By: Judy Mathias
August 2, 2017
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Surgical outcomes vary at bariatric centers of excellence

Editor's Note Center accreditation alone does not ensure high-quality care for bariatric surgical patients, this study finds. In this analysis of 145,527 patients across 165 bariatric centers of excellence, serious complication rates varied 17-fold at the national level and 2.1-fold at the state level. Complication rates varied at centers with…

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By: Judy Mathias
May 1, 2017
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Recipe for a Collaborative Ambulatory Surgery Center

After this session you’ll be able to: 1. Develop tools and strategies to promote teamwork. 2. Understand best practices for encouraging your ambulatory surgery center (ASC) to collaborate with the anesthesia department. 3. Determine new processes and quality improvement projects with which you can challenge your staff. Why this is…

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Impact of bariatric surgery before joint replacement

Editor's Note Bariatric surgery performed before hip or knee replacement can reduce in-hospital and 90-day postoperative complications, finds this study presented March 14 at the American Academy of Orthopedic Surgeons annual meeting in San Diego. Compared with morbidly obese patients who did not have bariatric surgery before joint replacement, those…

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By: Judy Mathias
March 15, 2017
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QI program for bariatric surgery reduces readmissions

Editor's Note The first national quality improvement (QI) program for bariatric surgery reduced readmissions by more than 30% for some hospitals, finds this study presented November 2 at ObesityWeek 2016, the annual conference of the American Society for Metabolic & Bariatric Surgery (ASMBS). The average hospital saw 30-day readmissions drop…

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By: Judy Mathias
November 3, 2016
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Cost-effectiveness of bariatric surgery in adolescents

Editor's Note In this study, bariatric surgery for obese adolescents was shown to be cost-effective if assessed over a time period of 5 years, but not in shorter time frames. The incremental cost-effectiveness ratio of bariatric surgery vs no surgery was $155,000 per quality-adjusted life year (QALY) when assessed over…

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By: Judy Mathias
October 27, 2016
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Predictors of high cost of care after bariatric surgery

Editor's Note Suboptimal postoperative outcomes are the primary driver of high overall costs of care after bariatric surgical procedures, this study finds. The study included morbidly obese patients who underwent laparoscopic vertical sleeve gastrectomy (74 patients) or laparoscopic Roux-en-Y gastric bypass (270 patients) at a single institution from 2010 to…

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By: Judy Mathias
September 30, 2016
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Long-term durability of weight loss with bariatric surgery in veterans

Editor's Note Bariatric surgical patients in the Veterans Administration health care system lost substantially more weight than nonsurgical patients and sustained most of the weight loss in the long term, this study finds. Roux-en-Y gastric bypass (RYGB) induced significantly more weight loss than sleeve gastrectomy (SG) or adjustable gastric banding…

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By: Judy Mathias
August 31, 2016
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Trendelenburg Positioning for Robotic and Conventional Laparoscopic Surgery – A Contemporary Perspective for OR Managers

In this timely presentation, the speaker examines the chronology of Trendelenburg positioning, the physiological impact of contemporary extreme Trendelenburg, and the unforeseen patient positioning injury risks that accompany robotic assisted surgery that do not exist with traditional MIS techniques. As the decision makers for surgical patients, OR managers will learn…

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