Is routine post-sleeve gastrografin needed? Profile of 98 cases

Autor: Abdullah Homood Alromaih, Mansur Suliman Alqunai, Abdulrahman Haitham Alashkar, Bandar Saad Assakran, Fatimah Salem AlGhasham
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Leak
Adolescent
Cost
Cost-Benefit Analysis
Gastrografin
Contrast Media
lcsh:Medicine
030209 endocrinology & metabolism
Percentage weight loss
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
Young Adult
0302 clinical medicine
Postoperative Complications
Gastrectomy
medicine
Humans
lcsh:Science (General)
lcsh:QH301-705.5
Aged
Diatrizoate Meglumine
Bariatric surgery
Laparoscopic sleeve gastrectomy
Hospital stay
business.industry
lcsh:R
General Medicine
Length of Stay
Middle Aged
medicine.disease
Surgery
Obesity
Morbid
Radiography
Stenosis
Research Note
Cross-Sectional Studies
Outcome and Process Assessment
Health Care
lcsh:Biology (General)
030211 gastroenterology & hepatology
Female
Laparoscopy
business
Body mass index
lcsh:Q1-390
Zdroj: BMC Research Notes, Vol 13, Iss 1, Pp 1-5 (2020)
BMC Research Notes
ISSN: 1756-0500
DOI: 10.1186/s13104-020-05060-y
Popis: Objective Laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed bariatric procedures. Some surgeons still perform routine post-sleeve gastrografin (RSG) study believing that it would detect post-LSG complications, especially leak. In this study, we aimed to evaluate the cost-effectiveness of RSG by considering the cost of the study, length of hospital stay and complications-related costs RSG could prevent. Results A total of 98 eligible patients were included. Of them, 54 patients underwent RSG and 44 did not. Excluding the cost of LSG procedure, the average cost for those who underwent RSG and those who did not in Saudi Riyal (£) was 5193.15 (1054.77) and 4222.27 (857.58), respectively. The average length of stay (ALOS) was practically the same regardless of whether or not the patient underwent RSG. 90.8% (n = 89) of all patients stayed for 3 days. None of the patients developed postoperative bleeding, stenosis or leak. The mean weight, body mass index (BMI) and percentage weight loss (PWL) 6 months postoperatively were found to be 87.71 kg (SD = 17.51), 33.89 kg/m2 (SD = 7.29) and 26.41% (SD = 9.79), respectively. The PWL 6 months postoperatively was 23.99% (SD = 8.47) for females and 30.57 (SD = 10.6) for males (p = 0.01).
Databáze: OpenAIRE
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