Bariatric surgery using a network and teleconferencing to serve remote patients in the Veterans Administration Health Care System: Feasibility and results

Ranjan Sudan, Mary Salter, Thomas Lynch, Danny O. Jacobs

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Background Previously, Midwestern veteran patients had limited bariatric surgery access because they lived long distances from a bariatric surgery center (BSC). The creation and outcomes of a network to increase bariatric surgery access and patient satisfaction with teleconsultation are discussed. Methods Several referring Midwestern Veterans Affairs Medical Centers (VAMCs) performed pre- and postoperative management and were linked by teleconferencing and a computerized patient record system to a single BSC. Results Twenty-eight high-risk patients (older, male) residing an average distance of 324.5 miles from the BSC underwent gastric bypass. Eighty-two percent used teleconferencing for the initial surgical consultation with excellent patient satisfaction saving at least 19,000 miles and 69 travel days. Surgical outcomes were equivalent and follow-up was excellent (96.6%) compared with non-Veterans Affairs patients. Conclusions A cooperative network using teleconference and computerized records facilitated bariatric surgery in high-risk, remotely located VA patients with high patient satisfaction and without compromising surgical outcomes.

Original languageEnglish (US)
Pages (from-to)71-76
Number of pages6
JournalAmerican Journal of Surgery
Volume202
Issue number1
DOIs
StatePublished - Jul 1 2011

Keywords

  • Bariatric surgery
  • Obesity
  • Telemedicine
  • Veterans

ASJC Scopus subject areas

  • Surgery

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