Surgical Weight Loss Program:
|
EMMC Surgical Weight Loss Quality Data
 |
| EMMC was named a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery in 2005. This accreditation is only awarded to programs that meet both high quality standards and perform a minimum of 125 cases per year. In 2007, the bariatric surgery volume at EMMC was more than double what the Center of Excellence requires. |
| |
| |
 |
| Roux-en-Y gastric bypass done open or laparoscopically, adjustable gastric banding, and laparoscopic sleeve gastrectomy are the three most common bariatric surgeries performed at EMMC. In 2008, EMMC was the first hospital in Maine to begin offering the sleeve gastrectomy. |
| |
| |
.jpg?n=7339 "Bariatric-Surgery-Average-Lenght-of-Stay-by-Procedure") |
| The laparoscopic approach to gastric bypass has been available at EMMC since 2003. In 2008 it comprised 74% of the gastric bypass cases done at EMMC. The average length of stay for laparoscopic bypass is 2.2 days, open bypass is 3.8 days, gastric banding is 1.1 days, and sleeve gastrectomy is 3.2 days. |
| |
| |
 |
Between 2006 and 2008, operative mortality at 30 days postoperatively for the laparoscopic gastric bypass and adjustable gastric band was 0% versus 0.2% for the open approach to gastric bypass. The standard for safe bariatric programs is to have less than 0.5% 30 day operative mortality.
The EMMC Surgical Weight Loss Program target is to have less than ten percent of our patients return for readmission and reoperation when combined. Thirty day readmission rates are 2.6% for laparoscopic bypass, 5.8% for the open bypass, and 2.4% for the adjustable gastric band. Thirty-day return to operating room rates are 1.7% for the laparoscopic bypass versus 5.4% for the open bypass, and 2.4% for the adjustable band.
|
| |
| |
 |
| |
This graph compares the weight loss of EMMC's patients who have had gastric bypass (laparoscopic or open) and the gastric band at the two and five year mark. The National Institute of Health defines success with weight loss surgery as 50% or more excess body weight loss. They report that 60% of pateints who have had gastric bypass surgery achieve this level of weight loss success by the fifth year postoperatively.
Eighty-two percent of our bypass surgery patients have achieved 50% or more excess body weight loss at two years after surgery. At five years, 61% of our gastric bypass patients have achieved 50% of more excess body weight loss. Weight loss for the gastric band is normally slower, and it can take two to five years to lose all of the weight the surgery allows. By the fifth year postoperative, one-half of our patients have achieved 50% or more of their excess body weight loss.
|
|
|