Gastrointestinal Obstruction After Bariatric Surgery

Author(s):  
Daniel M. Herron
Author(s):  
Zhamak Khorgami ◽  
Ali Aminian

Readmission after bariatric surgery occurs in about 5% of cases and increases the average costs up to 2.5-fold. Risk factors for readmission are dependent functional status, diabetes mellitus, steroid or immunosuppressant use, cardiac disease with intervention, bleeding disorders, longer operative time, concurrent splenectomy, high preoperative creatinine, low serum albumin, and occurrence of postoperative complications during index admission. The most common reasons for readmissions are procedure-related complications, including dehydration, abdominal pain, bleeding, anastomotic leak, gastrointestinal obstruction, and thromboembolic events. Measures that decrease readmissions after bariatric surgery include: effective preoperative education, thorough evaluation before discharge, appropriate discharge instruction with required medications, reasonable discharge disposition, 24-hour phone support, active follow-up of high-risk patients, walk-in clinic, hydration clinic, and training of other hospital teams to manage common complaints after bariatric surgery.


2006 ◽  
Vol 175 (4S) ◽  
pp. 493-494
Author(s):  
Jared M. Whitson ◽  
G. Bennett Stackhouse ◽  
Marshall L. Stoller

2010 ◽  
Vol 44 (1) ◽  
pp. 2
Author(s):  
HEIDI SPLETE

2005 ◽  
Vol 38 (2) ◽  
pp. 4
Author(s):  
JOYCE FRIEDEN
Keyword(s):  

2010 ◽  
Vol 43 (9) ◽  
pp. 20
Author(s):  
JON O. EBBERT ◽  
ERIC G. TANGALOS
Keyword(s):  

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