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Implementation of the Spanish ERAS program in bariatric surgery
Jaime Ruiz-Tovar1, José Luis Muñoz2, Pablo Royo3
1a Department of Surgery, Bariatric Surgery Unit , University Hospital Rey Juan Carlos , Madrid , Spain.
Summary
The Spanish National Enhanced Recovery After Surgery (ERAS) protocol for bariatric surgery is safe and effective. It leads to reduced postoperative pain and shorter hospital stays compared to standard care.
Area of Science:
- Bariatric Surgery
- Surgical Protocols
- Multidisciplinary Care
Background:
- Enhanced Recovery After Surgery (ERAS) programs utilize a multimodal approach.
- Fast-track bariatric surgery has demonstrated safety and feasibility.
- A multidisciplinary ERAS program for bariatric surgery was developed by the Spanish Fast Track Group (ERAS Spain).
Purpose of the Study:
- To analyze the initial implementation of the Spanish National ERAS protocol in bariatric surgery.
- To compare the ERAS protocol group with a historical cohort receiving standard care.
Main Methods:
- A multi-center prospective study included 233 patients undergoing bariatric surgery under the ERAS protocol.
- A historical cohort of 286 patients receiving standard care was used for comparison.
- Evaluated compliance, morbidity, mortality, hospital stay, and readmission rates.
Main Results:
- No significant differences in complications, mortality, or readmission rates were observed between groups.
- The ERAS group experienced significantly lower postoperative pain and shorter hospital stays.
- Overall compliance with the ERAS protocol was 80%.
Conclusions:
- The Spanish National ERAS protocol is a safe approach for bariatric surgery.
- It achieves comparable outcomes to standard care regarding complications, reoperations, mortality, and readmissions.
- The protocol is associated with reduced postoperative pain and earlier hospital discharge.
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