192 Good Safety Rails Are Essential Requisite for Same Day or Overnight Stay Bariatric Surgery

Abstract Aim To retrospectively assess the success of our strategies for short stay Bariatric Surgery in one unit practice. Method After assessing an average stay of 1.8 days in our practice we instituted sane day or an overnight stay strategy. We ensured all patients were counselled with reassurance for an informed consent. Their acceptance was based on good family support and nurse visits when necessary. They all underwent full assessment including Dietician and specialist nurse. Psychological assessment and involvement were sought in selected patients. All operated patients had intraoperative leak tests (Gastrografin and air leak tests) on the table. Postoperative GG swallow was done later in the day in ready to be discharged LSG and next morning in all others. patients were mobilised soon after surgery and were shifted to discharge lounges next morning until discharge. Suitable wide comfortable airline type seats were part of this lounge. Majority of the GBP were RNY. LSGs were fashioned on 34 Fr bougie and close to pylorus. In both Seam reinforcements were used. Results Of this cohort of patients 1300 patients 780 underwent LRNYGBP and 520 LSG. 96% of patients were able to be discharged as planned. 60 LSG went home later the same day (11.5%). there were mo mortality or readmissions in this cohort. Weight loss at one year was better and higher in GBP. Conclusions Despite some published papers of stay ranging from 2 days minimum shorter stay as described above meets with patient satisfaction and is safe and cost-effective.