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Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery.

Publication ,  Journal Article
Seymour, KA; Turner, MC; Kuchibhatla, M; Sudan, R
Published in: Obes Surg
February 2021

BACKGROUND: Dehydration treatments (DT) provide intravenous fluids to patients in the outpatient setting; however, the utilization of DT is not well-described. We characterize the cohort receiving DT, the first year it was recorded in a bariatric-specific database. SETTING: A retrospective cohort analysis of patients undergoing bariatric surgery between January 1, 2016, and December 31, 2016, in 791 centers in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data file. METHODS: Patients ≥ 18 years with a body mass index (BMI) ≥ 35 kg/m2 who underwent laparoscopic adjustable gastric band (LAGB), sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (LRYGB), and biliopancreatic diversion with duodenal switch (LBPD/DS) were identified. Unadjusted and adjusted rates of DT were analyzed. In addition, adjusted rates and indication for readmission were reviewed. RESULTS: The overall rate of dehydration treatments was 3.5% for the 141,748 bariatric surgery cases identified. Patient comorbidities of gastroesophageal reflux (GERD) (odds ratio (OR) 1.49; 95% CI, 1.40-1.59), insulin-dependent diabetes (OR = 1.19; 95% CI, 1.07-1.33), and LRYGB (OR = 1.45; 95% CI, 1.36-1.54) were associated with higher odds of DT. DT only had the highest odds of readmission (OR = 6.22; 95% CI, 5.55-6.98) compared to other outpatient visits. Nausea and vomiting, or fluid, electrolyte, or nutritional depletion was the most common indication for readmission in all groups. CONCLUSIONS: Patients with GERD utilized dehydration treatments after bariatric surgery. DT was highly associated with readmissions, and a better understanding of the clinical application of DT will allow bariatric centers to develop programs to further optimize outpatient treatments.

Duke Scholars

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

February 2021

Volume

31

Issue

2

Start / End Page

838 / 846

Location

United States

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Obesity, Morbid
  • Laparoscopy
  • Humans
  • Gastroesophageal Reflux
  • Gastric Bypass
  • Gastrectomy
  • Dehydration
 

Citation

APA
Chicago
ICMJE
MLA
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Seymour, K. A., Turner, M. C., Kuchibhatla, M., & Sudan, R. (2021). Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery. Obes Surg, 31(2), 838–846. https://doi.org/10.1007/s11695-020-05043-9
Seymour, Keri A., Megan C. Turner, Maragatha Kuchibhatla, and Ranjan Sudan. “Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery.Obes Surg 31, no. 2 (February 2021): 838–46. https://doi.org/10.1007/s11695-020-05043-9.
Seymour KA, Turner MC, Kuchibhatla M, Sudan R. Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery. Obes Surg. 2021 Feb;31(2):838–46.
Seymour, Keri A., et al. “Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery.Obes Surg, vol. 31, no. 2, Feb. 2021, pp. 838–46. Pubmed, doi:10.1007/s11695-020-05043-9.
Seymour KA, Turner MC, Kuchibhatla M, Sudan R. Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery. Obes Surg. 2021 Feb;31(2):838–846.
Journal cover image

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

February 2021

Volume

31

Issue

2

Start / End Page

838 / 846

Location

United States

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Obesity, Morbid
  • Laparoscopy
  • Humans
  • Gastroesophageal Reflux
  • Gastric Bypass
  • Gastrectomy
  • Dehydration