RecruitingNot ApplicableNCT07011628

Transition to Ambulatory Bariatric Surgery (TABS) Trial

Sponsor

Vanderbilt University Medical Center

Enrollment

200 participants

Start Date

Oct 1, 2026

Study Type

INTERVENTIONAL

Conditions

Bariatric Surgery Obesity and Obesity-related Medical Conditions

Summary

This study will compare same day discharge and at least one night stay in the hospital after bariatric surgery. Patients undergoing bariatric surgery will be randomized (i.e. have an equal chance of either plan) to either group. The study's primary outcome is the frequency patients in the study require a visit to the emergency room within 7 days of their surgery.

Eligibility

Min Age: 25 YearsMax Age: 55 Years

Inclusion Criteria3

BMI ≤ 60 kg/m2
Primary Sleeve gastrectomy or Gastric Bypass,
Undergoing bariatric surgery at sponsor site

Exclusion Criteria22

Type 1 Diabetes
Myocardial Infarction
Unstable Angina or Heart Failure
Prior Stroke
Solid organ transplantation
Systemic glucocorticoid prior 28 days
Severe Obstructive Sleep Apnea
Uncontrolled Hypertension (Systolic > 150, Diastolic > 90)
Untreated Hyperthyroidism
Chronic Kidney Disease (EGFR < 60)
Current anticoagulant use,
Poorly controlled Type 2 diabetes (Hemoglobin A1c in last 3 months > 8.5%)
Chronic opioid use
Insulin dependence.
Need for extended venous thromboembolic event prophylaxis,
> 1 lifetime bariatric surgery (revisional or conversion bariatric surgery)
Patient lives > 130 miles from the hospital.
Tobacco use in last 12 months
Desire to become pregnant or active pregnancy
Prisoners
Unable or unwilling to follow-up
Unable to understand or provide consent

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Interventions

OTHERSame Day Discharge

Patients in the same day discharge arm will be discharged from the hospital within 6 hours of arriving to the recovery unit and without an overnight stay in the hospital.