Enhanced recovery after surgery for sleeve gastrectomies: improved patient outcomes.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Ari SapinPrakash R Paragi

Abstract

Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care and incorporates patient-centered, evidence-based, and multidisciplinary team-developed pathways for a surgical specialty. ERAS pathways aim to reduce the patient's surgical stress response, optimize their physiologic function, facilitate recovery, and reduce the length of stay. The bariatric program at our institution was previously managed by many surgeons with anecdotal preferences, resulting in increased costs, lengths of stay, and opioid prescribing. To describe a standardized ERAS pathway for patients undergoing a laparoscopic sleeve gastrectomy procedure in order to enhance perioperative care and reduce opioid usage. ERAS bariatric program in New Jersey. The ERAS bariatric program at our institution was implemented in January 2018. All patients who underwent sleeve gastrectomy from January 2016 to November 2017 (preimplementation) as well as from February 2018 to October 2020 (postimplementation) were included in this retrospective study, with those undergoing procedures in December 2017 and January 2018 excluded due to the transition to the ERAS protocol. Differences in lengths of stay, direct costs, and 30-day readmission rates were compar...Continue Reading

References

Sep 26, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pascal H E TeeuwenA J A Bremers
Oct 21, 2009·Archives of Surgery·Kristoffer LassenUNKNOWN Enhanced Recovery After Surgery (ERAS) Group
Jul 23, 2014·The British Journal of Surgery·K MortensenUNKNOWN Enhanced Recovery After Surgery (ERAS®) Group
Jan 18, 2017·JAMA Surgery·Olle LjungqvistKenneth C Fearon
May 21, 2017·Anesthesiology Clinics·Anair BeverlyRichard D Urman
Mar 1, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ola S AhmedWilliam B Robb
Oct 24, 2019·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stacy A BrethauerAnthony Petrick
Nov 26, 2019·American Journal of Surgery·Thomas W SmithFaaiza T Vaince
Jan 5, 2020·Obesity Surgery·Piotr MałczakMichał Pędziwiatr

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Citations

Jun 12, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Anders Thorell

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