Obesity and Metabolic Disease

Bariatric Surgery

Cleveland Clinic’s Bariatric and Metabolic Institute continues to be accredited as a designated Bariatric Surgery Center of Excellence by the American Society for Metabolic & Bariatric Surgery and the American College of Surgeons. This designation is awarded to programs that meet high-quality standards and perform a minimum of 50 procedures annually.

Bariatric Surgery Cases

2017 - 2022

Data represents Main Campus, Fairview, Lutheran and Hillcrest locations.

Other = SADI, duodenal switch, intragastric balloon

Fluctuations in 2020 volumes are a result of significant changes to the number of patients treated, which can be directly attributed to the COVID-19 pandemic.

Bariatric Surgery - Baseline Comorbidities, Laparoscopic Roux-en-Y Gastric Bypass

2022

Benchmark: Bennett WC, Garbarine IC, Mostellar M, et al. Comparison of early post‑operative complications in primary and revisional laparoscopic sleeve gastrectomy, gastric bypass, and duodenal switch MBSAQIP‑reported cases from 2015 to 2019. Surgical Endoscopy. 2023;37:3728-3738. https://doi.org/10.1007/s00464-022-09796-5

CCF median BMI=44.8 vs. benchmark BMI=44.5

Data represents Main Campus, Fairview, and Hillcrest primary procedures only

Bariatric Surgery - Baseline Comorbidities, Laparoscopic Sleeve Gastrectomy

2022

Benchmark: Bennett WC, Garbarine IC, Mostellar M, et al. Comparison of early post‑operative complications in primary and revisional laparoscopic sleeve gastrectomy, gastric bypass, and duodenal switch MBSAQIP‑reported cases from 2015 to 2019. Surgical Endoscopy. 2023;37:3728-3738. https://doi.org/10.1007/s00464-022-09796-5

CCF median BMI=46.2 vs. benchmark BMI=43.5

Data represents Main Campus, Fairview, and Hillcrest primary procedures only

Bariatric Surgery Median Length of Stay

2017 - 2022

Data represents Main Campus, Fairview, and Hillcrest primary laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy procedures.

Fluctuations in 2020 volumes are a result of significant changes to the number of patients treated, which can be directly attributed to the COVID-19 pandemic.

Bariatric Surgery - Thirty-Day Complication Rate

2021 - 2022

Benchmark: MBSAQIP 30-Day Occurrences Report

Data represents Main Campus, Fairview, and Hillcrest primary procedures only.

Bariatric Surgery - Thirty-Day Readmission Rate

2020 - 2022

Benchmark: MBSAQIP 30-Day Occurrences Report

Data represents Main Campus, Fairview, and Hillcrest primary procedures only.

Fluctuations in 2020 volumes are a result of significant changes to the number of patients treated, which can be directly attributed to the COVID-19 pandemic.

Bariatric Surgery Thirty-Day Mortality Rates

2022

Surgery Type

Cleveland Clinic

Mortality

Cleveland Clinic

% Mortality, (N)

Benchmark

Mortality

Benchmark

% Mortality, (N)

Primary Laparoscopic Roux-en-Y Gastric Bypass00 (448)59.11 (53,050)
Primary Laparoscopic Sleeve Gastrectomy00 (444)76.01 (137,471)

Benchmark: MBSAQIP 30-Day Occurrences Report

Data represents Main Campus, Fairview, and Hillcrest revisions, conversions and primary surgeries

Bariatric Surgery - Anastomotic/Staple Line Leak

2022

Surgery Type

Cleveland Clinic

Leak

Cleveland Clinic

% Leak, (N)

Benchmark

Leak

Benchmark

% Leak, (N)

Primary Laparoscopic Roux-en-Y Gastric Bypass00 (448)1500.28 (54,053)
Primary Laparoscopic Sleeve Gastrectomy00 (444)2550.18 (139,924)

Benchmark: MBSAQIP 30-Day Occurrences Report

Data represents primary laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy procedures from Main Campus, Fairview, and Hillcrest.