One hundred seventy-nine consecutive bariatric operations after introduction of protocol inspired by the principles of enhanced recovery after surgery (ERAS®) in bariatric surgery

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Maciej MatłokPiotr Małczak

Abstract

Obese patients are a very large high-risk group for complications after surgical procedures. In this group, optimized perioperative care and a faster recovery to full activity can contribute to a decreased rate of postoperative complications. The introduction of ERAS®-based protocol is now even more important in bariatric surgery centers. The results of our study support the idea of implementation of ERAS®-based protocol in this special group of patients. This analysis included 170 patients (62 male/108 female, mean BMI 46.7 kg/m2) who had undergone laparoscopic bariatric surgery, and whose perioperative care was conducted according to a protocol inspired by ERAS® principles. Examined factors included oral nutrition tolerance, time until mobilization after surgery, requirements for opioids, duration of hospitalization, and readmission rate. During the first 24 postoperative hours, oral administration of liquid nutrition was tolerated by 162 (95.3%) patients and 163 (95.8%) were fully mobile. In 44 (25.8%) patients it was necessary to administer opioids to relieve pain. Intravenous liquid supply was discontinued within 24 hours in 145 (85.3%) patients. The complication rate was 10.5% (mainly rhabdomyolysis and impaired passage o...Continue Reading

References

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Citations

Jun 29, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Vivek BindalUsha Dudeja
Oct 12, 2017·Revista do Colégio Brasileiro de Cirurgiões·Marcus Vinicius Dantas de Campos Martins
Feb 6, 2018·Acta chirurgica Belgica·Piotr MajorAndrzej Budzyński
Oct 31, 2018·Surgical Endoscopy·Lisa A BevilacquaAurora Pryor
Jun 3, 2020·International Anesthesiology Clinics·Jaime DuttonJohn M Morton
Nov 6, 2018·Acta chirurgica Belgica·Marta MajorczykJolanta Jaworek
Jan 30, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Richard S HoehnBrad M Watkins
Apr 14, 2016·The American Journal of Case Reports·Mohammed MuneerHassan Al-Thani
Nov 8, 2016·Current Opinion in Anaesthesiology·Adrian AlvarezPreet Mohinder Singh
May 1, 2021·Journal of Clinical Medicine·Magdalena Pisarska-AdamczykPiotr Major

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Methods Mentioned

BETA
gastric bypass
PCA

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