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Updated: Feb 8, 2026

Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Optimizing Hospital Resource Utilization in Bariatric Readmission.

Jerome R Lyn-Sue¹, Justin A Doble¹, Ryan M Juza¹

¹Department of Surgery, The Pennsylvania State University, College of Medicine. Hershey, Pennsylvania, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|June 29, 2018

Summary

This summary is machine-generated.

Patients with a history of bariatric surgery often present to the emergency department (ED) with abdominal symptoms. A significant portion requiring invasive management could potentially be treated as outpatients with timely follow-up.

Keywords:

Abdominal pain Bariatric surgery Endoscopy Gastrointestinal Quality improvement

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Area of Science:

Bariatric surgery outcomes
Gastrointestinal surgery complications
Emergency medicine

Background:

Increasing prevalence of patients with prior bariatric surgery presenting to emergency departments.
Emergency physicians manage these patients, often without specialized experience.
Need to identify outpatient management opportunities to reduce resource utilization.

Purpose of the Study:

To determine which patients with a history of bariatric surgery presenting to the ED with abdominal symptoms could be managed in an outpatient setting.
To reduce unnecessary hospital admissions and optimize resource utilization.

Main Methods:

Retrospective review of bariatric patients admitted from the ED with abdominal symptoms.
Data collected included type of bariatric operation, diagnoses, and interventions.
Analysis focused on identifying patients suitable for outpatient care.

Main Results:

Laparoscopic Roux-en-Y gastric bypass was the most common prior surgery (76.1%).
Abdominal pain was the most frequent symptom (80.2%).
Ninety-four percent of patients required invasive management (endoscopy, laparoscopy, or laparotomy).

Conclusions:

Most bariatric surgery patients presenting to the ED require invasive management.
A subset needing endoscopic evaluation or therapy (37.7%) may be candidates for outpatient management.
Outpatient management requires robust systems for rapid follow-up and procedural scheduling.