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Enhanced recovery after bariatric surgery.
Jaime Ruiz-Tovar1, Raquel Sanchez-Santos2, Ester Martín-García-Almenta3
1Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Madrid, España.
Cirugia Espanola
|June 22, 2019
Summary
Enhanced recovery after surgery (ERAS) protocols improve patient recovery through multidisciplinary care. This study reviews ERAS evidence for bariatric surgery, offering guidelines for preoperative, perioperative, and postoperative care.
Area of Science:
- Medical Science
- Surgical Innovation
Background:
- Enhanced Recovery After Surgery (ERAS) protocols are evidence-based care pathways.
- These multidisciplinary programs optimize patient recovery across various surgical procedures.
- ERAS implementation is expanding to bariatric surgery, requiring specialized protocols.
Purpose of the Study:
- To evaluate the scientific evidence for ERAS protocols in bariatric surgery.
- To develop comprehensive preoperative, perioperative, and postoperative guidelines for bariatric ERAS.
- To establish evidence levels and recommendations using the GRADE methodology.
Main Methods:
- Conducted a systematic bibliographic search of ERAS in bariatric surgery.
- Utilized multiple scientific databases for comprehensive literature review.
- Applied the GRADE methodology to assess evidence and formulate recommendations.
Main Results:
- Identified and synthesized current scientific evidence on ERAS for bariatric procedures.
- Established evidence levels and formulated recommendations for ERAS implementation.
- Organized guidelines into distinct preoperative, perioperative, and postoperative phases.
Conclusions:
- ERAS protocols offer a structured, evidence-based approach to bariatric surgery recovery.
- Multidisciplinary collaboration is crucial for successful ERAS implementation in morbidly obese patients.
- The developed guidelines provide a framework for optimizing postoperative outcomes in bariatric surgery.
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