The hidden endoscopic burden of sleeve gastrectomy and its comparison with XXXX .

@entity1 @entity356
BACKGROUND: This study aimed to assess the endoscopic burden of bariatric surgical procedures at our trust. This is an enhanced parallel study to "The Hidden Endoscopic burden of Roux-en-Y Gastric Bypass" published in Frontline Gastroenterology in 2013 incorporating the data for sleeve gastrectomy and comparison with @entity356 ( @entity356 ). METHODS: This is a retrospective study that included 211 @entity1 undergoing sleeve gastrectomy over a 34-month period. We utilized previously collected data for the @entity356 @entity1 cohort which included 553 @entity1 over a 29-month period. We searched our hospital endoscopic database for @entity1 who underwent post-operative endoscopy for indications related to their surgery. RESULTS: 16.6% of the sleeve gastrectomy @entity1 required post-operative endoscopy, of whom 11.4% underwent therapeutic procedures. This compares to 20.4% of the @entity356 cohort of whom 50.4% needed therapeutic procedures (P<0.001). 1.9% of sleeve gastrectomy @entity1 encountered a post-operative staple line leak and collectively required 29 endoscopic procedures. One @entity1 also developed stricturing (0.47%) requiring 18 pneumatic dilatations. 11.4% of the @entity356 cohort developed an anastomotic stricture requiring 57 balloon dilatation procedures. To date, these procedures have accumulated an equivalent cost of    159,898 in endoscopy tariffs, or    177 per @entity356 and    373 per sleeve gastrectomy performed. CONCLUSIONS: Bariatric surgery can have significant implications in terms of @entity1 morbidity and financial cost. Having a local bariatric surgery service increases the demand for endoscopic procedures in our hospital, both in investigating for and dealing with post-operative complications. Provision of extra resources and expertise needs to be taken into account.
