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A Phase-Based, Multidisciplinary Enhanced Recovery Pathway for Bariatric Procedures: The EUropean PErioperative
Orestis Ioannidis1, Elissavet Anestiadou1, Jose M Ramirez2,3
1Fourth Department of Surgery, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital "George Papanikolaou", 57010 Thessaloniki, Greece.
Journal of Clinical Medicine
|March 14, 2026
Summary
The EUropean PErioperative MEdical Networking (EUPEMEN) protocol standardizes bariatric surgery care to reduce complications and improve patient recovery. This multidisciplinary approach enhances perioperative outcomes across European healthcare settings.
Area of Science:
- Bariatric Surgery
- Healthcare Protocol Development
- Multidisciplinary Care
Background:
- Obesity is a significant global health issue.
- Metabolic-bariatric surgery offers effective long-term weight management.
- Variability in perioperative care and postoperative complications remain challenges.
Purpose of the Study:
- To develop and standardize a perioperative care protocol for bariatric surgery across European healthcare settings.
- To address challenges in perioperative care and enhance patient outcomes.
- To establish the EUropean PErioperative MEdical Networking (EUPEMEN) protocol.
Main Methods:
- Multidisciplinary expert collaboration (surgeons, anesthetists, nurses, nutritionists).
- Literature review, expert consensus, and structured guideline development (preoperative, intraoperative, postoperative phases).
- Development of multimodal rehabilitation manuals, an open-access online learning platform, and a "train the trainer" program.
Main Results:
- Aims to reduce postoperative complications and hospitalization time.
- Enhances patient recovery through standardized rehabilitation pathways.
- Promotes consistent care delivery via educational platforms and evidence-based practices.
Conclusions:
- The EUPEMEN protocol provides an evidence-based, multidisciplinary framework for optimizing bariatric surgery perioperative management.
- Potential obstacles include resource variability and adherence challenges.
- Further studies are needed to evaluate long-term impact and adaptability.
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