Academic Journal
Same-day discharge sleeve gastrectomy in France on the last decade: a nationwide cohort study on safety and patient selection.
| Τίτλος: | Same-day discharge sleeve gastrectomy in France on the last decade: a nationwide cohort study on safety and patient selection. |
|---|---|
| Συγγραφείς: | Rebibo L; Assistance Publique-Hôpitaux de Paris, Digestive Surgery Department, European Hospital Georges Pompidou, Paris, France. Electronic address: lionel.rebibo@aphp.fr., Tropeano AI; Assistance Publique Hôpitaux de Paris, Unité de Recherche Clinique et Service de Santé Numérique, Université Paris Centre, Hôpital Européen Georges Pompidou, Paris, France; Assistance Publique Hôpitaux de Paris, Service de Nutrition, Hôpital Européen Georges Pompidou, Paris, France., Vilfaillot A; INSERM CIC1418, Epidémiologie Clinique, Hôpital Européen Georges Pompidou, Paris, France., Lu E; Assistance Publique Hôpitaux de Paris, Unité de Recherche Clinique et Service de Santé Numérique, Université Paris Centre, Hôpital Européen Georges Pompidou, Paris, France., Dupont A; Clinical Research, Biostatistics and Epidemiology Department, AP-HP Nord-Université de Paris, HUPNVS, Paris, Cedex, France; INSERM CIC-EC 1425, Hôpital Bichat Claude Bernard, Paris, France., Carette C; Assistance Publique Hôpitaux de Paris, Service de Nutrition, Hôpital Européen Georges Pompidou, Paris, France; Centre de Recherche sur l'Inflammation (Center for Research on Inflammation), Equipe PIMS (PIMS Team), Inserm UMRS 1149, Paris, France., Mariani A; Assistance Publique-Hôpitaux de Paris, Digestive Surgery Department, European Hospital Georges Pompidou, Paris, France., Rives-Lange C; Assistance Publique Hôpitaux de Paris, Service de Nutrition, Hôpital Européen Georges Pompidou, Paris, France; INSERM-INRIA-Université paris Cité, UMR 1346, Paris, France., Katsahian S; Assistance Publique Hôpitaux de Paris, Unité de Recherche Clinique et Service de Santé Numérique, Université Paris Centre, Hôpital Européen Georges Pompidou, Paris, France; INSERM CIC1418, Epidémiologie Clinique, Hôpital Européen Georges Pompidou, Paris, France; INSERM-INRIA-Université paris Cité, UMR 1346, Paris, France. |
| Πηγή: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2026 Oct; Vol. 22 (10), pp. 1130-1139. Date of Electronic Publication: 2026 May 19. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 101233161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-7533 (Electronic) Linking ISSN: 15507289 NLM ISO Abbreviation: Surg Obes Relat Dis Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, N.Y. : Elsevier, c2005- |
| Ιατρικοί όροι (MeSH): | Gastrectomy*/mortality , Gastrectomy*/statistics & numerical data , Gastrectomy*/methods , Gastrectomy*/adverse effects , Ambulatory Surgical Procedures*/mortality , Ambulatory Surgical Procedures*/statistics & numerical data , Ambulatory Surgical Procedures*/adverse effects , Obesity, Morbid*/surgery , Obesity, Morbid*/mortality , Bariatric Surgery*/mortality , Bariatric Surgery*/statistics & numerical data , Bariatric Surgery*/adverse effects , Bariatric Surgery*/methods , Patient Discharge*/statistics & numerical data , Patient Selection*, France/epidemiology ; Humans ; Female ; Middle Aged ; Adult ; Male ; Aged ; Young Adult ; Adolescent ; Postoperative Complications ; Cohort Studies ; Risk Factors |
| Περίληψη: | Background: Sleeve gastrectomy (SG) is the most performed bariatric procedure worldwide. However, large-scale data concerning SG performed as same-day discharge (SDD) surgery are scarce. Objectives: To compare 90-day morbi-mortality between SDD and inpatient SG using a nationwide French database over a 9-year period. Setting: Comprehensive data from the French National Health Data System including data over 599 surgical centers. Methods: From January 2015 to December 2023, all patients aged 18-70 years who underwent SG for obesity (244,992 patients) were included and divided into two groups: SG as SDD (SDD group) and SG as inpatient surgery (control group). The primary outcome was a comparison of 90-day morbi-mortality between SDD and inpatient groups. The secondary outcomes included trends in SDD adoption, patient characteristics, and risk factors for complications. Multivariate logistic regression and propensity score matching was used to search for factors influencing completion of SG as SDD. Results: Among 244,992 patients, 5046 (2.1%) underwent SDD. The SDD rate increased until 2021 (peak: 4.2%) and stabilized thereafter (3.3%). SDD patients were younger (37.3 vs. 39.9 years, P < .001); more often female (82.7% vs. 78.7%, P < .001); and had less hypertension, diabetes, and obstructive sleep apnea (P < .001). Concerning our primary objective, SDD was associated with lower morbi-mortality (7.5% vs. 8.3%, P = .033) in our total cohort study. After propensity score matching, no difference was found between SDD and inpatient group (odds ratio [OR] = .94, P = .324). Risk factors for morbi-mortality included diabetes (OR = 1.33, P < .001), renal insufficiency (OR = 4.90, P < .001), and anticoagulant therapy (OR = 1.45, P < .001). Older age, type 2 diabetes, hypertension, obstructive sleep apnea, and oral anticoagulation therapy were negatively associated with the completion of SDD, whereas the type of surgical center was positively associated with its completion. Conclusions: SDD for SG remains underutilized in France but is associated with lower morbi-mortality, likely due to stringent patient selection. Older age, type 2 diabetes, hypertension, obstructive sleep apnea, and oral anticoagulation therapy were independently associated with a lower probability of completing SDD. (Copyright © 2026 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Disclosures The authors have no commercial associations that might be a conflict of interest in relation to this article |
| Contributed Indexing: | Keywords: Ambulatory; Complications; Day-case surgery; Morbidity; Sleeve gastrectomy |
| Entry Date(s): | Date Created: 20260610 Date Completed: 20260907 Latest Revision: 20260907 |
| Update Code: | 20260908 |
| DOI: | 10.1016/j.soard.2026.05.015 |
| PMID: | 42270484 |
| Βάση Δεδομένων: | MEDLINE |
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