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Enhanced Recovery After Bariatric Surgery

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Bariatric Surgical Practice Guide

Abstract

Enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways designed to achieve early recovery after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery. The key elements of ERAS protocols include preoperative counseling, optimization of nutrition, standardized analgesic and anesthetic regimens and early mobilization. Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow [1]. Also referred to as Fast Track Surgery (FTS) these protocols have been successfully practiced in colorectal surgery over many years [2]. The body of evidence is quite compelling, but so far their adoption in bariatric surgery has been rather sporadic and patchy.

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References

  1. Dogan K, Kraaij L, Aarts EO, Koehestanie P, Hammink E, van Laarhoven CJHM, et al. Fast-track bariatric surgery improves perioperative care and logistics compared to conventional care. Obes Surg. 2015;25(1):28–35.

    Article  PubMed  Google Scholar 

  2. Sosada K, Wiewiora M, Piecuch J, Zurawiński W. Fast track in large intestine surgery - review of randomized clinical trials. Wideochir Inne Tech Małoinwazyjne. 2013;8(1):1–7.

    PubMed  Google Scholar 

  3. Flum DR, Belle SH, King WC, et al. Peri-operative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361(5):445–54.

    Google Scholar 

  4. Geubbels N, Bruin SC, Acherman YIZ, van de Laar AWJM, Hoen MB, de Brauw LM. Fast track care for gastric bypass patients decreases length of stay without increasing complications in an unselected patient cohort. Obes Surg. 2014;24(3):390–6.

    Article  PubMed  Google Scholar 

  5. Elliott JA, Patel VM, Kirresh A, Ashrafian H, Le Roux CW, Olbers T, et al. Fast-track laparoscopic bariatric surgery: a systematic review. Updates Surg. 2013;65(2):85–94.

    Article  PubMed  Google Scholar 

  6. Lemanu DP, Srinivasa S, Singh PP, Johannsen S, MacCormick AD, Hill AG. Optimizing perioperative care in bariatric surgery patients. Obes Surg. 2012;22(6):979–90.

    Article  PubMed  Google Scholar 

  7. Bamgbade OA, Adeogun BO, Abbas K. Fast-track laparoscopic gastric bypass surgery: outcomes and lessons from a bariatric surgery service in the United Kingdom. Obes Surg. 2012;22(3):398–402.

    Article  PubMed  Google Scholar 

  8. Bergland A, Gislason H, Raeder J. Fast-track surgery for bariatric laparoscopic gastric bypass with focus on anaesthesia and peri-operative care. Experience with 500 cases. Acta Anaesthesiol Scand. 2008;52(10):1394–9.

    Article  CAS  PubMed  Google Scholar 

  9. Kim JYS, Khavanin N, Rambachan A, McCarthy RJ, Mlodinow AS, De Oliveria GS, et al. Surgical duration and risk of venous thromboembolism. JAMA Surg. 2015;150(2):110–7.

    Article  PubMed  Google Scholar 

  10. Gan TJ, Meyer T, Apfel CC, Chung F, Davis PJ, Eubanks S, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg. 2003;97(1):62–71, table of contents.

    Article  PubMed  Google Scholar 

  11. De Oliveira GS, Castro-Alves LJS, Ahmad S, Kendall MC, McCarthy RJ. Dexamethasone to prevent postoperative nausea and vomiting: an updated meta-analysis of randomized controlled trials. Anesth Analg. 2013;116(1):58–74.

    Article  PubMed  Google Scholar 

  12. Jacobsen HJ, Bergland A, Raeder J, Gislason HG. High-volume bariatric surgery in a single center: safety, quality, cost-efficacy and teaching aspects in 2,000 consecutive cases. Obes Surg. 2012;22(1):158–66.

    Article  CAS  PubMed  Google Scholar 

  13. Sommer T, Larsen JF, Raundahl U. Eliminating learning curve-related morbidity in fast track laparoscopic Roux-en-Y gastric bypass. J Laparoendosc Adv Surg Tech A. 2011;21(4):307–12.

    Article  PubMed  Google Scholar 

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Correspondence to Faruq Badiuddin MS, FRCS (England) .

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Badiuddin, F. (2017). Enhanced Recovery After Bariatric Surgery. In: Kumar, S., Gomes, R. (eds) Bariatric Surgical Practice Guide. Springer, Singapore. https://doi.org/10.1007/978-981-10-2705-5_22

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  • DOI: https://doi.org/10.1007/978-981-10-2705-5_22

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-10-2705-5

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