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27 results on '"Serrot, Federico J."'

6. A Pilot Study to Increase Transversus Abdominis Plane Block Utilization Among Bariatric Surgeons

Author

Falconer, Elissa A., primary, Majumdar, Melissa C., additional, Grunewald, Zachary I., additional, Gillingham, Trent, additional, Sanford, Jay, additional, Lane, Olabisi, additional, Serrot, Federico J., additional, Stetler, Jamil, additional, Patel, Ankit D., additional, Srinivasan, Jahnavi K., additional, Sharma, Jyotirmay, additional, Davis, S. Scott, additional, Lin, Edward, additional, and Hechenbleikner, Elizabeth M., additional

Published
2022
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10. S136-operationalizing an enhanced recovery protocol after bariatric surgery: single institutional pilot experience forging data-driven standard work

Author

Hechenbleikner, Elizabeth M., primary, Majumdar, Melissa C., additional, Gillingham, Trent, additional, Jannuzzo, Cooper J., additional, Grunewald, Zachary I., additional, Sanford, Jay, additional, Diller, Maggie L., additional, Oyefule, Omobolanle, additional, Serrot, Federico J., additional, Stetler, Jamil L., additional, Patel, Ankit D., additional, Srinivasan, Jahnavi K., additional, Davis, S. Scott, additional, and Lin, Edward, additional

Published
2022
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17. Bile Acids Increase Independently From Hypocaloric Restriction After Bariatric Surgery

Author

Jahansouz, Cyrus, primary, Xu, Hongliang, additional, Hertzel, Ann V., additional, Serrot, Federico J., additional, Kvalheim, Nicholas, additional, Cole, Abigail, additional, Abraham, Anasooya, additional, Luthra, Girish, additional, Ewing, Kristin, additional, Leslie, Daniel B., additional, Bernlohr, David A., additional, and Ikramuddin, Sayeed, additional

Published
2016
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22. Efficacy of the Roux-en-Y Gastric Bypass Compared to Medically Managed Controls in Meeting the American Diabetes Association Composite End Point Goals for Management of Type 2 Diabetes Mellitus

Author

Leslie, Daniel B., primary, Dorman, Robert B., additional, Serrot, Federico J., additional, Swan, Therese W., additional, Kellogg, Todd A., additional, Torres-Villalobos, Gonzalo, additional, Buchwald, Henry, additional, Slusarek, Bridget M., additional, Sampson, Barbara K., additional, Bantle, John P., additional, and Ikramuddin, Sayeed, additional

Published
2011
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26. Comparative effectiveness of bariatric surgery and nonsurgical therapy in adults with type 2 diabetes mellitus and body mass index <35 kg/m2.

Author

Serrot, Federico J., Dorman, Robert B., Miller, Christopher J., Slusarek, Bridget, Sampson, Barbara, Sick, Brian T., Leslie, Daniel B., Buchwald, Henry, and Ikramuddin, Sayeed

Subjects
COMPARATIVE studies, BARIATRIC surgery, TYPE 2 diabetes treatment, BODY mass index, DIABETES in adolescence, HEALTH outcome assessment, PRIMARY care
Abstract

Background: Outcomes of bariatric surgery in patients with a body mass index (BMI) <35 kg/m2 have been an active area of investigation. We examined the comparative effectiveness of Roux-en-Y gastric bypass (RYGB) to routine medical management (nonsurgical controls; NSCs) in achieving appropriate targets defined by the American Diabetes Association for type 2 diabetes mellitus (T2DM) in patients with class I obesity (BMI 30.0–34.9 kg/m2) T2DM at 1 year. Methods: We identified patients undergoing RYGB (N = 17) with both class I obesity and T2DM and compared them to similar NSC (N = 17) treated in the Primary Care Center. Data were collected at baseline and 1 year for systolic blood pressure (SBP), as well as blood levels for low-density lipoprotein (LDL) cholesterol and hemoglobin A1c (HbA1c). Results: After RYGB, BMI decreased from 34.6 ± 0.8 kg/m2 to 25.8 ± 2.5 kg/m2 (P < .001) and HbA1c decreased from 8.2 ± 2.0% to 6.1 ± 2.7% (P < .001). The NSC cohort had no significant change in either BMI or HbA1c. SBP and LDL did not significantly change in either group. The RYGB group had a decrease in medication use compared to the NSC group (P < .001). The RYGB group ceased the use of antihypertensive and antihyperlipidemia medications by 1 year despite abnormal values. Conclusion: RYGB can be performed in patients with both a BMI <35 kg/m2 and T2DM with better weight loss, glycemic control, and fewer antihyperglycemic medications than NSC. Inappropriate cessation of medications may partially explain the persistent increase in both SBP and LDL after RYGB. [Copyright &y& Elsevier]

Published
2011
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27. Impact of a Postoperative Bariatric Surgery Phone Call Quality Improvement Intervention on 30-day Hospital Readmissions and Emergency Department Visits.

Author

MAJUMDAR, MELISSA C., GRUNEWALD, ZACHARY I., FALCONER, ELISSA A., DILLER, MAGGIE L., OYEFULE, MOBOLA, SERROT, FEDERICO J., STETLER, JAMIL L., PATEL, ANKIT D., SRINIVASAN, JAHNAVI K., DAVIS JR., SCOTT, LIN, EDWARD, and HECHENBLEIKNER, ELIZABETH M.

Subjects
*PATIENT readmissions, *BARIATRIC surgery, *TELEPHONE calls, *HOSPITAL emergency services, *INTEGRATED health care delivery
Abstract

Objective: Outpatient care coordination phone calls can improve postoperative outcomes in certain surgical specialties but are not well described in metabolic and bariatric surgery (MBS). This quality improvement (QI) initiative evaluated a standardized postoperative MBS phone call intervention on 30-day emergency department (ED) visits and hospital readmissions. Design: A phone call was conducted following MBS to inquire into patients' postoperative recovery and wellbeing. Retrospective chart review was done pre- (1/2019-3/2020) and postintervention (5/2020-6/2021) for variables and outcomes. Two-sample t-tests were used; p-values less than 0.05 were statistically significant. Setting: 532-bed mixed community and academic hospital. Participants: Patients aged 18 years or older undergoing primary or revisional MBS. Measurements: Patient and operative characteristics, monthly ED visit and readmission rates, postoperative day of presentation, and underlying reasons for ED visits and readmissions. Results: Overall, 522 patients were identified (263 preintervention, 259 postintervention) with 32 (6.1%) ED visits (20 preintervention, 12 postintervention) and 23 (4.4%) readmissions (9 preintervention, 14 postintervention). The top three reasons for ED visits were oral intake problems, constipation, and wound problems. The top three reasons for readmissions included surgical complications or issues, oral intake problems, and venous thromboembolism events. Average monthly ED visit rates decreased by 54 percent, from 8.4 to 3.9 percent (pre- and postintervention, respectively), while average monthly readmission rates increased from 3.1 to 3.9 percent (pre- and postintervention, respectively). Conclusion: Standardized MBS phone calls are a promising postoperative care coordination adjunct and might help reduce ED visits. Further QI work will include improving postoperative education, identifying higher risk patients before discharge, and larger scale data collection efforts. [ABSTRACT FROM AUTHOR]

Published
2023

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