Show Summary Details
Page of

Readmissions after Bariatric Surgery 

Readmissions after Bariatric Surgery
Chapter:
Readmissions after Bariatric Surgery
Author(s):

Zhamak Khorgami

, and Ali Aminian

DOI:
10.1093/med/9780190608347.003.0016
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 07 December 2021

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.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.