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Updated: Aug 23, 2025

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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
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A Narrative Review on Bariatric ERAS
Summary
Enhanced Recovery After Surgery (ERAS) protocols are safe and effective for bariatric/metabolic surgery (BMS). ERAS reduces hospital stay, pain, nausea, and costs, with similar mortality and readmission rates compared to standard care.
Area of Science:
- Bariatric/metabolic surgery (BMS) and perioperative care protocols.
- Evidence-based medicine and clinical practice guidelines.
Background:
- Bariatric/metabolic surgery (BMS) is the primary treatment for morbid obesity.
- Enhanced Recovery After Surgery (ERAS) protocols optimize perioperative care for BMS patients.
- This review examines the role and future of ERAS in BMS.
Approach:
- A comprehensive literature search was conducted on Medline and Embase up to June 30, 2022.
- Keywords included "ERAS" and "bariatric/metabolic surgery."
- Analyzed outcomes such as length of stay, morbidity, mortality, readmissions, and costs.
Key Points:
- ERAS protocols are feasible and safe for BMS.
- ERAS significantly reduces length of hospital stay, postoperative nausea/vomiting (PONV), pain, opioid use, and costs.
- Mortality and readmission rates remain comparable to standard care.
Conclusions:
- ERAS protocols enhance recovery and reduce healthcare costs in bariatric/metabolic surgery.
- Increased ERAS adoption can benefit healthcare systems, especially during infectious disease outbreaks.
- Technological advancements will further integrate ERAS into BMS.
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