Abstract Background Although bariatric surgery is available through NHS, lack of funding and long waiting times, lead to patients choosing private care within UK or abroad. This study presents data on emergency re-interventions post bariatric surgery (UK and abroad) at a high-volume centre in UK performing between 330-450 bariatric resections/year. Methods Data on all patients undergoing emergency intervention following bariatric surgery between Jan 2018 and Nov 2022 were collected. Results A total of 155 patients underwent 201 procedures after having had prior bariatric surgery of whom 79.7% were female. The median age was 43 (IQR 35-50 years) and the median BMI was 35 (IQR 28-45). Roux-En-Y Gastric Bypass (RYGB) and Gastric Band (GB) were the commonest index operations (40% and 24.5% respectively) and 22% had their index procedure outside of the UK. The commonest emergency interventions were OGD (n=13) and re-do jejuno-jejunal anastomosis(n=9). The median length of stay was 4 days (IQR 2-13) with mortality of 2%. Per year, the median number of patients admitted as an emergency was 34 (19-45). However, temporal regression analysis forecasts that admissions will steadily rise to 58 (95% CI 46-76) in 2023, 66 (95% CI 54-79) in 2024 and 75 (95% CI 62-88) in 2025 (p=0.013). Conclusions An increasing number of patients are attending our hospital having had surgery in either another unit or abroad. Mathematical forecasting models suggest that the number of patients will likely increase every year in the near future. With increasing demand, emphasis falls on the importance of established regional networks.
Read full abstract