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Related Concept Videos

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Sleeve Gastrectomy in Mice using Surgical Clips
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Bariatric Surgery: Improving Access without Compromising Outcomes.

Justine O Chinn1, Sebastiano Bartoletti2, Jason X Shen2

  • 1Stanford University, Stanford, United States. jchinn1@stanford.edu.

Obesity Surgery
|September 8, 2025
PubMed
Summary
This summary is machine-generated.

Telemedicine in bariatric surgery significantly reduces wait times and hospital stays compared to in-person visits. This approach offers similar weight loss and complication rates, improving access to care for severe obesity treatment.

Keywords:
AccessMetabolic and bariatric surgeryTelemedicine

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Area of Science:

  • Bariatric Surgery
  • Telemedicine
  • Obesity Management

Background:

  • Pre-operative bariatric surgery workup requires numerous in-person visits, posing challenges for patient commitment.
  • The COVID-19 pandemic necessitated a shift to telemedicine in bariatric clinics.
  • Evaluating the impact of this telemedicine transition is crucial for optimizing patient care.

Purpose of the Study:

  • To determine the impact of transitioning bariatric surgery pre-operative care to a telemedicine model.
  • To compare outcomes between in-person and telemedicine bariatric surgery workups.
  • To assess the safety and efficacy of telemedicine in improving access to bariatric surgery.

Main Methods:

  • Analysis of adult patients undergoing gastric bypass or sleeve gastrectomy between 2018-2022.
  • Comparison of demographics, time from consultation to surgery, hospital stay length, BMI, and complications between in-person and telemedicine cohorts.
  • Statistical analysis using chi-squared tests, t-tests, and logistic regression.

Main Results:

  • Telemedicine patients had a significantly shorter duration from consultation to surgery (375.8 days) compared to in-person patients (551.1 days).
  • The average length of hospital stay was shorter for telemedicine patients (1.2 days) versus in-person (1.9 days).
  • No significant differences were observed in race, ethnicity, gender, 12-month weight loss, readmission rates, or emergency department visits.

Conclusions:

  • Telemedicine in bariatric surgery leads to a shorter time to surgery and reduced hospital stay.
  • The telemedicine model demonstrates comparable outcomes to in-person care regarding weight loss and complications.
  • Telemedicine presents a safe and effective strategy to enhance access to bariatric surgery for severe obesity treatment.