Article Text

Download PDFPDF
OC-077 The short term outcomes from 2468 bariatric procedures: a single centre of excellence
  1. AA Riaz,
  2. J Ferguson,
  3. M Talbot
  1. Upper GI Surgery, St George Hospital, Sydney, Australia


Introduction Bariatric surgery is associated with long-term weight loss and decreased overall mortality.1The development of the ‘Centre of Excellence’ model has seen improvements in bariatric outcomes.2We wish to publish the short-term results from a single Centre of Excellence in Australia.

Method A database of 2468 patients was retrospectively created between 2010 and 2013. All patients underwent laparoscopic sleeve gastrectomy (LSG) (n = 1642), laparoscopic gastric band (LGB) (n = 554) and laparoscopic gastric bypass (LRYGB) (n = 272). The primary endpoint was overall mortality. The secondary endpoints were leak rate, length of hospital stay, readmission rates and complication rates.

Results There were no deaths. There were a total of 9 leaks (LSG-5; LGB-4; 0.36%). The median lengths of stay for LSG, LGB and LRYGB were 3 days, 3 days and 1 day respectively. There were a total of 77 unplanned readmissions for 64 patients (readmission rate 3.1%). 31 readmissions (40.3%) were for dehydration and 14 (18.2%) were for benign abdominal pain. Twenty-four patients were taken back to theatre for complications on 30 occasions (0.97%; LSG-11, LRYGB-9, LGB-4). Ten (33.3%) take back procedures were in revision cases (LSG-1; LRYGB-7; LGB-2).

Conclusion Bariatric surgery can be performed safely with a satisfactory short term morbidity profile in high-volume centres.

Disclosure of interest None Declared.


  1. Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52

  2. Gebhart A, Young M, Phelan M, Nguyen NT. Impact of accreditation in bariatric surgery. Surg Obes Relat Dis. 2014;10:767–773

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.