Comparative analysis of readmission rates and outcomes: Sleeve gastrectomy with versus without Nissen fundoplication using a National Database.

IF 2.2 Q3 ENDOCRINOLOGY & METABOLISM Clinical Obesity Pub Date : 2024-09-23 DOI:10.1111/cob.12702
Ahmed M Afifi, Daniyal Qadir, Gang Ren, Justin Hsu, Joseph Sferra, Stephanie Pannell, Munier Nazzal
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Abstract

Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed bariatric procedure. To study the safety of LSG done with Nissen Fundoplication (NF) in patients affected by obesity and GERD and assess the complication rate. A retrospective cohort study using the Nationwide Readmissions Database from 2016 to 2019. A total of 236111 patients underwent LSG with and without NF. A matched cohort of 1096 without NF and 548 with NF was obtained. The median age of patients was 47 years old. Median length of hospital stay was higher in the LSG with NF group. Median total charge was higher in the LSG with NF group. There was no statistically significant difference in 30-day readmission rates in patients with obesity and GERD who received LSG with NF compared to those who received LSG alone. Complications after both procedures were low, which highlights the safety of both procedures.

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再入院率和结果的比较分析:利用国家数据库对使用尼森胃底折叠术和不使用尼森胃底折叠术的袖带胃切除术进行比较分析。
腹腔镜袖带胃切除术(LSG)是最常见的减肥手术。研究肥胖和胃食管反流患者在接受腹腔镜袖带胃切除术(LSG)的同时接受尼森胃底折叠术(NF)的安全性,并评估并发症发生率。这是一项回顾性队列研究,使用的是2016年至2019年全国再入院数据库。共有 236111 名患者接受了 LSG,其中包括 NF 患者和未接受 NF 的患者。其中1096名患者无NF,548名患者有NF。患者的中位年龄为 47 岁。有 NF 的 LSG 组住院时间中位数较长。有 NF 的 LSG 组的总费用中位数更高。肥胖症和胃食管反流病患者在接受 LSG 和 NF 治疗后的 30 天再入院率与单纯接受 LSG 治疗的患者相比没有统计学差异。两种手术后的并发症都很低,这凸显了两种手术的安全性。
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来源期刊
Clinical Obesity
Clinical Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
5.90
自引率
3.00%
发文量
59
期刊介绍: Clinical Obesity is an international peer-reviewed journal publishing high quality translational and clinical research papers and reviews focussing on obesity and its co-morbidities. Key areas of interest are: • Patient assessment, classification, diagnosis and prognosis • Drug treatments, clinical trials and supporting research • Bariatric surgery and follow-up issues • Surgical approaches to remove body fat • Pharmacological, dietary and behavioural approaches for weight loss • Clinical physiology • Clinically relevant epidemiology • Psychological aspects of obesity • Co-morbidities • Nursing and care of patients with obesity.
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