Comment on: When do leaks occur? An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program.

Abstract

I read with interest the article entitled “When Do Leaks Occur? An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program” By Clapp B et al. 1 Clapp B. Corbett J. Ahmed M. Vivar A. Sharma I. OM Ghanem K. Hage. When Do Leaks Occur?An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement. ProgramSOARD. 2023; (in press) Google Scholar Over a period of 5 years, using the MBSAQIP Participant Use Files (PUF), 370,369 sleeve gastrectomies (SG) and 159,280 Roux-en-Y gastric bypasses (RYGB) were evaluated. Of those, 598 (0.16%) SG leaks with a time to presentation of 13.2 days, and 520 leaks (0.32%) after RYGB with a presentation time of 9.5 days. Of note, RYGB patients had a 2x fold risk of leaks. When do leaks occur? An analysis of the metabolic and bariatric surgery accreditation and quality improvement programSurgery for Obesity and Related DiseasesPreviewLeak is a feared complication of bariatric surgeries. Time to presentation is important in their management. We used the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to evaluate the rate and timing of leaks. Full-Text PDF