Laparoscopic gastric banding for morbid obesity: outpatient procedure versus overnight stay.

Author: Wasowicz-Kemps DK, Bliemer B, Boom FA, de Zwaan NM, van Ramshorst B

Author affiliation: Department of Surgery, St. Antonius Hospital, Nieuwegein, Koekoekslaan 1/ Postbus 2500, 3430, EM, Nieuwegein, The Netherlands. D.Wasowicz@antonius.net

Publication date & source: 2006.08, Surg Endosc., 20(8):1233-7. Epub 2006 Jul 3.

Publication type: Comparative Study ; Randomized Controlled Trial

BACKGROUND: In western countries, laparoscopic gastric banding is increasingly used in the surgical treatment of morbid obesity. This study aimed to investigate the feasibility, safety, morbidity, and costs of an outpatient procedure (OP) compared with an overnight stay (OS). METHODS: In a 2-year period, 50 consecutive patients were randomized to an OP group or an OS group. RESULTS: In the OP group, 76% of the patients were successfully discharged the same day, without readmissions. Four procedures were converted, and one complication occurred. The patients in the OP group seemed to experience more pain (p = 0.009). Satisfaction scores were 8.1 (OP) and 8.8 (OS) (p = 0.06). Half of the OP patients and most of the OS patients preferred a clinical admission. The OP treatment cost 600 euros less than OS. CONCLUSION: With proper patient selection, laparoscopic gastric banding can be performed safely and at lower cost as an outpatient procedure.