Prior bariatric surgery is associated with lower mortality and resource utilization following small bowel obstruction

Small bowel obstruction (SBO) is a complication of bariatric surgery. However, outcomes of surgical intervention for SBO among patients with prior bariatric surgery remain ill-defined. We used a nationally representative cohort to characterize the outcomes of the SBO management approach in patients...

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Bibliographic Details
Published in:Surgery open science 2024-03, Vol.18, p.85-90
Main Authors: Ali, Konmal, Cho, Nam Yong, Vadlakonda, Amulya, Sakowitz, Sara, Kim, Shineui, Chervu, Nikhil, Hadaya, Joseph, Benharash, Peyman
Format: Article
Language:English
Subjects:
Bariatric surgery
Nationwide readmission database
Small bowel obstruction
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Summary:Small bowel obstruction (SBO) is a complication of bariatric surgery. However, outcomes of surgical intervention for SBO among patients with prior bariatric surgery remain ill-defined. We used a nationally representative cohort to characterize the outcomes of the SBO management approach in patients with a prior bariatric operation. All adult hospitalizations for SBO were tabulated from the 2018–2020 National Readmissions Database. Patients with a prior history of bariatric surgery comprised the Bariatric cohort (others: Non-Bariatric). Multivariable models were subsequently developed to evaluate the association of prior bariatric surgery with outcomes of interest. Of an estimated 299,983 hospitalizations for SBO, 15,788 (5.3 %) had a history of prior bariatric surgery. Compared to Non-Bariatric, Bariatric patients were younger (54 [46–62] vs 57 [47–64] years, P 
ISSN:2589-8450
2589-8450
DOI:10.1016/j.sopen.2024.02.011