0

Mohammad Alhuniti

Royal Medical Services, Jordan

Title: Postoperative Reduced Oral Feeding Can Increase Readmission Post Bariatric Surgery

Abstract

Objectives: Laparoscopic bariatric techniques and improved postoperative recovery regimens have reduced hospital stay; some patients continue to have prolonged admission for various reasons. This paper explores Objectives: whether postoperative oral feeding is a potential risk factor for lengthened hospitalization and readmission.

Methods: A prospective, double blinded, randomized investigation of 250 postoperative patients at King Hussein Hospital, King Hussein Medical City, Amman, Jordan, during the period March 2019-September 2021. Subjects (155 women and 95 men, aged 31-49, with an average of 36 years) were managed for
morbid obesity, and were assigned to laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) groups. Subjects with perioperative hazards and previous bariatric techniques were ruled out. Early oral feeding with light hospital diet on the first day after surgery and full hospital diet in the second day after surgery were encouraged included subjects with hospital admission (3 days)
and group II included subjects with (>3 days) readmission spanned 30days after surgery. Univariate and multivariate logistic regression were used to evaluate effect induced parameters on lengthened hospital admission and readmissions.

Results: The average period of hospitalization was 3 (2–4) days of hospital admission(HD), more days were recorded in 75/250 (30%) subjects: 40/150 (26.7%) LSG, and 35/100 (35%) LRYGB (P < 0.005). Reduced postoperative oral feeding lengthened hospitalization, and increased readmission risk. Readmission incidence was 6% (15/250 readmissions): 6/150 (4%) LSG, and 9/100 (9%) LRYGB (P >
0.05).

Conclusion: Reduced oral feeding is a risk factor for lengthened hospitalization and readmission.

Biography

Mohammad Alhuniti has graduated from the Jordan university school of medicine at the age of 23, Jordan. Then he completed the surgical residency program at the royal medical services and have a license i as general surgeon specialist from the Jordan medical council, then he completed the fellow ship of minimal invasive and bariatric surgery at the royal medical services and certified from the Jordan medical council as minimal invasive and bariatric surgeon, and completed a fellowship and master degree in minimal invasive and bariatric surgery from CHU de Nice. Le Centre Hospitalier Universitaire de Nice , He is a head of minimal invasive and bariatric surgery department  at royal medical services, Jordan. And Tutor and examiner for medical student at Jordan university, And Tutor and examiner for surgical resident and board examiner at Jordan medical council, He has over 30 publications that have been cited over 100 times,. He has been serving as an editorial board member of several reputed journals.