obesity-fitness-2019-scientifictracks

4 / 13

26
Find More Information @ March 2019 Conference Series LLC Ltd
conferenceseries LLC Ltd
19th International Conference on
Obesity, Healthcare - Nutrition & Fitness
March 18 - 19, 2019 | New York, USA
JOURNAL OF OBESITY &WEIGHT LOSS THERAPY 2019, VOLUME: 4 | DOI: 10.4172/2165-7904-C2-093 SCIENTIFIC TRACKS | DAY 1
Safely teaching quality
bariatric surgery
Preekesh Patel
Waikato Hospital, Hamilton, New
Zealand
Aims: The learning curve for
bariatric surgery can deter
surgical trainees and fellows
from learning procedures
such as Laparoscopic
Sleeve Gastrectomy (LSG)
and Laparoscopic Mini
Gastric Bypass (LMGB). We
hypothesize that bariatric
surgery can be taught safely
without compromise in quality,
at a moderate volume center.
Methods: a Retrospective
collection of prospectively
collected data was performed
using electronic databases.
This included basic
demographics, operation
type and identification of
primary operator (consultant
vs trainee), defined as the
operator who completed ≥50%
of the operation, including
gastric staple application.
Primary outcomes included
1year mean %BMI change over
one year, 30day morbidity and
mortality. Secondary outcomes
included 30day and 1year
readmission rates.
Results: All 251 bariatric
surgeries performed or
supervised by a single bariatric
surgeon between May 2011
and November 2018 (228
LSG and 23 LMGB) were
included. 87/251 (35%) were
consultant-led and 164/251
(65%) were trainee-led. There
were no staple line leaks,
anastomotic leaks or 30day
mortalities. 8/251 (3%) had
30-day morbidity, with 2/87
(2%) occurring with consultant-
led cases and 6/164 (4%)
with trainee-led cases. 4/251
(2%) were readmitted within
30-days, 1/87 (1%) was a
consultant-led case and 3/164
(2%) with trainee-led cases.
1year mean %BMI change
was 36% for consultant-
led operations and 35% for
trainee-led operations. No
outcomes exhibited statistical
difference based on primary
operator status.
Conclusions: Bariatric surgery
can be taught safely at a
moderate volume center,
without a reduction in quality.
This data could help promote
higher trainee primary
operator rates in bariatric
centers around New Zealand.
Biography
Preekesh Patel completed
his Bachelor of Medicine and
Bachelor of Surgery from
The University of Auckland
in 2014. He has a Post-
graduate Certificate in Surgical
Sciences from The University
of Edinburgh. He is currently
working at Waikato Hospital as
a General Surgery Registrar.