IBC-Oxford University2023_BJSPoster_9Causes of re-hospitalization according to the bariatric procedures, single center experience

Abstract

Abstract The numbers of bariatric procedures are increasing dramatically worldwide. Despite the international guidelines and recommended preventive perioperative steps, postoperative complications still occur with significant numbers. Postoperative complications differ and represent a heterogeneous group of diseases with different pathophysiology, severity and management plans reaching up to major revisional surgery. Many patients require rehospitalization for managing these complications. The observed increasing numbers of rehospitalization prompted us to study and analyse the causes of readmission. This retrospective descriptive study aimed to report our experience, as a tertiary university institute in managing various complications after different bariatric procedures that necessitated hospital readmission. All patients who have been admitted in a university tertiary hospital in Saudi Arabia with any post-bariatric surgery complication for the last five years were included. A total of 228 admitted patients were included due to any post-bariatric complications. Most of them was diagnosed with more than one clinical entity. These patients underwent different bariatric procedures either performed in our institution or referred to us from other hospitals. Demographic data revealed that both genders were equally involved, the age ranged from 15-68 years. Most of bariatric procedures were reported. The length of hospital stay ranged from 1 – 84 days. Postoperative leakage was found in 23 patients after sleeve gastrectomy. Therefore, better recognition and diagnosis of postoperative complications is mandatory. Analysis of the common causes could prompt a clinical pathway and preventing programs.