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Erschienen in: Obesity Surgery 2/2020

25.10.2019 | Original Contributions

Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015–2017

verfasst von: Benjamin Clapp, Carlos Lodeiro, Christopher Dodoo, Ginger Coleman, Babak Sadri, Ellen Wicker, Ira L. Swinney, Robert Cullen, Alan Tyroch

Erschienen in: Obesity Surgery | Ausgabe 2/2020

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Abstract

Background

Laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (SG) are the two most common bariatric operations. With the implementation of enhanced recovery protocols, the use of drains should decrease.

Methods

The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database was queried for the years 2015–2017. Our inclusion criteria included all patients undergoing a primary LRYGB, SG, and revisions. We examined demographics, operative characteristics, the use of drains, and postoperative complications. Continuous variables were summarized using means and standard deviations (SD). Categorical variables were summarized using frequencies and proportions. Student’s T test (Wilcoxon sum rank test in the case of skewed data) and chi-squared analysis were used to assess the baseline differences in drain utilization.

Results

From 2015 to 2017, there were 388,239 bariatric cases performed without drains and 100,221 performed with drains. Twenty-nine percent of LRYGB patients had a drain placed but only 16.7% of SG patients. The percentage of LRYGB that had a drain dropped from 33.1 to 24.6% during the study period and that of SG dropped from 20.3 to 13.6%. Patients that had drains placed were more likely to have a provocative test at the time of surgery (prevalence ratio (PR) 2.24) and to have a postoperative swallow study (PR 1.93).

Conclusions

Drains are still commonly used in bariatric patients. Over the study period, there was a decrease in the use of drains in both bypass and sleeve patients. Patients with a drain were more likely to have had a provocative test and a swallow study and have a higher rate of complications and mortality.
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Metadaten
Titel
Trends in Drain Utilization in Bariatric Surgery: an Analysis of the MBSAQIP Database 2015–2017
verfasst von
Benjamin Clapp
Carlos Lodeiro
Christopher Dodoo
Ginger Coleman
Babak Sadri
Ellen Wicker
Ira L. Swinney
Robert Cullen
Alan Tyroch
Publikationsdatum
25.10.2019
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 2/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04215-6

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