Endoscopy Used as Provocative Testing in Bariatric Surgery: An Analysis of the Texas Public Use Data File. JSLS 2020;24(3)
Date
09/25/2020Pubmed ID
32968343Pubmed Central ID
PMC7489577DOI
10.4293/JSLS.2020.00048Scopus ID
2-s2.0-85091547121 (requires institutional sign-in at Scopus site)Abstract
BACKGROUND: Many bariatric surgeons test the anastomosis and staple lines with some sort of provocative test. This can take the form of an air leak test with a nasogastric tube with methylene blue dye or with an endoscopy. The State Department of Health Statistics in Texas tracks outcomes using the Texas Public Use Data File (PUDF).
METHODS: We queried the Texas Inpatient and Outpatient PUDFs for 2013 to 2017 to examine the number of bariatric surgeries with endoscopy performed at the same time. We used the International Classification of Diseases Clinical Modification Version 9 (ICD-9-CM) and ICD-10 procedure codes and Current Procedural Terminology for Sleeve Gastrectomy (SG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) and endoscopy, and the ICD-9-CM and ICD-10 diagnosis codes for morbid obesity.
RESULTS: There were 74,075 SG reported in the Texas Inpatient and Outpatient PUDF for the years 2013-2017. Of the SG performed, 5,521 (7.4%) had an intraoperative endoscopy. For the 19,192 LRYGB reported, 1640 (8.6%) underwent LRYGB + endoscopy. This was broken down by SG only vs SG + endoscopy and LRYGB only vs LRYGB + endoscopy. Overall, SG + endoscopy had a significantly shorter length of stay (LOS) vs LRYGB + endoscopy at 1.74 d vs 2.34 d (P < .001) and a significantly less cost of $71,685 vs $91,093 (P < .001).
CONCLUSIONS: A small percentage of SG and LRYGB patients underwent endoscopy for provocative testing over the study period. Provocative testing with endoscopy costs more for SG and LRYGB and was associated with a shorter LOS.
Author List
Clapp B, Liggett E, Ma C, Castro C, Montelongo S, Van Noy K, Dilday J, Tyroch AAuthor
Joshua C. Dilday DO Adjunct Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAnastomotic Leak
Bariatric Surgery
Endoscopy
Female
Hospital Costs
Humans
Information Storage and Retrieval
Length of Stay
Male
Middle Aged
Obesity, Morbid
Practice Patterns, Physicians'
Retrospective Studies
Surgical Wound Dehiscence
Texas
