title: Hospital discharge in the day following open Roux-en-Y gastric bypass: is it feasible and safe?
abstract: BACKGROUND
  Roux-en-Y gastric bypass (RYGBP) either laparoscopic or open has been increasingly employed in the treatment of patients with morbid obesity. Laparoscopic approach is believed to be superior over open approach in terms of shorter hospital stay and easier recovery. We aimed to assess feasibility and safety of open RYGBP with short stay in comparison with laparoscopic RYGBP.
  
  
  METHODS
  One hundred and ninety consecutive patients were assigned to open (n=103) or laparoscopic (n=87) RYGBP. The first 20 patients of the laparoscopic arm were excluded due to procedure learning curve. Patients were treated by a multidisciplinary team focused on successfully RYGBP with short stay (1 day).
  
  
  RESULTS
  Short stay was reached by 90% of patients operated with open approach and 81% by laparoscopy (P=0.070). Discharge in the second day was reached by 97% of patients in both groups. Procedure length [(median (IQR)] was faster for open RYGBP [103 (70-180 min) vs. 169 (105-248 min); P<0.0001]. Thirty-day readmission rate was similar between groups (3% vs. 7%; P=0.266). There was no death in either group.
  
  
  CONCLUSIONS
  Short stay (1 day) following open gastric bypass was a feasible and safe procedure. This approach might have economic impact and might increase patient acceptance for open RYGBP.
authors.affiliation: GASTROBESE, Rua Uruguai, 1555, 1 degrees andar, 99010102, Passo Fundo, Rio Grande do Sul, Brazil.
authors.forename: Iran
authors.initials: I
authors.lastname: dos Santos Moraes
authors.forename: Carlos Augusto Scussel
authors.initials: CA
authors.lastname: Madalosso
authors.forename: Luis Amauri
authors.initials: LA
authors.lastname: Palma
authors.forename: Adriana Cristina
authors.initials: AC
authors.lastname: da Silva Fornari
authors.forename: Maria
authors.initials: M
authors.lastname: do Socorro Dourado
authors.forename: Tiago
authors.initials: T
authors.lastname: Scherer
authors.forename: Richard Ricachenevsky
authors.initials: RR
authors.lastname: Gurski
authors.forename: Fernando
authors.initials: F
authors.lastname: Fornari
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D010359:Patient Readmission; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult