Abstract
Background
Incidence of post-operative complications after sleeve gastrectomy (SG) is low. However, the early identification of these complications remains crucial. Here, we report the impact of routine laboratory monitoring for the early diagnosis of complications after SG.
Material and Methods
From January 2018 to December 2019, all consecutive patients who underwent primary SG (n = 457) were included. This was a comparative study of patients undergoing primary SG. Patients were divided into two groups: one group with routine laboratory monitoring performed at postoperative day (POD) 1 and 3 (LAB group) and another group without routine laboratory monitoring (control group). The study’s primary endpoint was the overall impact of routine laboratory monitoring. The secondary endpoints were evaluation of patients with complications.
Results
The population in the two groups were similar in term of demographic and intra-operative data. There was a statistical difference between the two groups in term of length of stay (5.7 days in the LAB group and 3.5 days in the control group (p < 0.001)). There were 19 complications (6.0%) in the LAB group and 5 complications in the control group (3.5%) (p = 0.25). A cut-off C-reactive protein level of 46.3 mg/l was found to be significant (p = 0.006). In the LAB group, 9 patients (2.9%) required readmission vs. three patients (2.0%) in the control group (p = 0.62).
Conclusion
The interest of routine laboratory monitoring after SG seems limited. Routine laboratory monitoring alone is not associated with earlier diagnosis of complications. This routine monitoring is associated with an increase of stay in hospital.
Graphical Abstract
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Data Availability
Data are available in our local registry.
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Key Points
1. The interest of routine laboratory monitoring after SG seems limited.
2. Routine biological monitoring only does not allow earlier diagnosis of complications.
3. Routine biological monitoring is associated with increased length of hospital stay.
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Triantafyllou, E., Scholer, V., Calabrese, D. et al. Is Routine Post-operative Biological Laboratory Assessment Necessary After Sleeve Gastrectomy?. OBES SURG 34, 707–715 (2024). https://doi.org/10.1007/s11695-024-07065-z
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DOI: https://doi.org/10.1007/s11695-024-07065-z