The goal of this observational study is to investigate the incidence, management, and outcomes of complications following bariatric surgery in patients in the United Kingdom. The main questions it aims to answer are:
* What is the prevalence of unplanned interventions due to complications following bariatric surgery in the UK? * What are the current practices for managing these complications, and how do they impact patient outcomes?
Participants will:
Be identified from hospitals treating patients presenting with complications following bariatric surgery.
Have their data collected regarding demographics, surgical history, complications, treatments, and outcomes.
Researchers will compare different management strategies and their impact on patient outcomes, with the aim of identifying best practices to improve emergency bariatric care and factors leading to patients attending as an emergency.
Admissions from i) the emergency department, clinic, urgent care or primary care to the bariatric surgical team as an emergency; ii) from an inpatient team as an urgent referral; iii) a return to theatre following an elective bariatric procedure; iv) another hospital via patient transfer to a specialised unit.
Participants undergoing any intervention or procedure to treat or diagnose bariatric complications, (e.g., OGDs, interventional radiology, surgery, supplemental enteral or parenteral nutrition).
age <18 years old
have a length of stay <24 hrs.
initial diagnosis of BSE is changed or if their readmission is found to be unrelated to previous bariatric surgery.
All patients admitted from these locations i) the emergency department, clinic, urgent care or primary care to the bariatric surgical team as an emergency; ii) from an inpatient team as an urgent referral; iii) a return to theatre following an elective bariatric procedure; iv) another hospital via patient transfer to a specialised unit,with the intent to treat or diagnose complications of bariatric surgery
Cohort
Prospective
Not listed
30-day mortality
Time in days
Inpatient length of stay
Time in days
Clavien-Dindo Classification of Complications
Severity of complication
Frequency and rate of nutritional support
Rate of enteral, or parenteral nutritional support
Frequency and type of interventional radiology
Need for drains or other radiological procedures
Frequency and type of surgery, diagnostic or therapeutic procedures
Description of the type of procedure or intervention required to treat or diagnose complications following bariatric surgery
Frequency of admission to critical care units
Identify need for critical care
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Bedfordshire Hospitals NHS Foundation Trust
Lead sponsor
Alan Askari
Collaborator
Aruna Munasinghe
Collaborator
Omer Al-taan
Collaborator
Fahad Iqbal
Collaborator
Dimitri Pournaras
Collaborator
Matthew Lee
Collaborator
Roxanna Zakeri
Collaborator
Marianne Hollyman
Collaborator
