Is gastric sleeve as an outpatient safe? My surgeon plans on discharging me the same day

It is not recommended, I like to keep them in the hospital for at least 2 nights and then discharge them if everything is fine, the main complication of the sleeve is bleeding.

Yes, outpatient gastric sleeve surgery can be safe for the right patient, but it depends on factors like overall health, BMI, and the presence of comorbidities. Many surgeons now perform same-day discharge for patients who meet specific criteria, such as having a lower BMI, no major health conditions, and a strong support system at home. The main risks of going home the same day include dehydration, pain management issues, nausea, and the rare chance of complications like bleeding or leaks. Some patients may benefit from an overnight stay, especially if they have a higher BMI, a history of surgical complications, or conditions like sleep apnea or diabetes. If you're unsure, you can ask your surgeon about their criteria for outpatient discharge, their success rate with same-day VSG, and what protocols are in place in case of complications at home. If you feel uncomfortable with being discharged so soon, you should discuss your concerns with your surgeon and see if an overnight stay is an option.

I always discharge my patients after 2 nights at hospital. Because, 24 hours waiting is a must after surgery, in order to do leak test.

Ensuring the well-being and comfort of patients is crucial for a successful recovery. Here's how Dr. Keshavarzi's approach to enhancing discharge after a gastric sleeve procedure can be summarized:
Overnight Hospital Stay: Dr. Keshavarzi opts for an overnight hospital stay for observation. This is a prudent approach, as it allows medical professionals to monitor the patient's condition closely during the critical initial recovery period.
Hydration: Staying adequately hydrated is essential post-surgery. Patients may struggle to drink enough fluids immediately after the procedure, so having medical staff on hand can ensure that patients receive the necessary hydration through IV fluids if needed.
Morning Check-Up: Dr. Keshavarzi follows up with his patients the morning after the procedure. This ensures that any potential complications or discomfort are addressed promptly.
Customized Diet Plan: Dr. Keshavarzi provides patients with a specific diet plan tailored to their needs after the gastric sleeve surgery. This plan typically includes a gradual progression from liquids to soft foods and eventually to solid foods, allowing patients to adapt to their new dietary requirements.
Patient Education: It's important for patients to understand the dietary changes and restrictions they will face after surgery. Dr. Keshavarzi likely educates his patients on how to follow their post-operative diet and provides guidance on portion control.
Safe Discharge: Patients are discharged only when Dr. Keshavarzi is confident in their recovery and well-being. This ensures that patients leave the hospital in a stable condition, ready to continue their recovery at home.
Post-Discharge Care: Dr. Keshavarzi may recommend follow-up appointments and ongoing support to help patients manage their weight loss journey and address any concerns or questions that arise after the surgery.
Dr. Keshavarzi's approach appears to prioritize patient safety, comfort, and successful recovery. It's essential for patients to adhere to their post-operative instructions and follow-up with their surgeon regularly to achieve the best outcomes after a gastric sleeve procedure.

Yes you can be discharged at the same day as long as you are in good state but it is preferred to stay for at least 24 hours

Hello, I hope you are well. Yes, there are some institutions and doctors who discharge their patients on the same day, considering a gastric sleeve is a considered a safe procedure. It is more common to keep patients overnight in order to monitor them and ensure oral tolerance before discharge.