Enhanced recovery after bariatric surgery

Cir Esp (Engl Ed). 2019 Dec;97(10):551-559. doi: 10.1016/j.ciresp.2019.05.003. Epub 2019 Jun 18.
[Article in English, Spanish]

Abstract

Enhanced recovery after surgery (ERAS) protocols are care programs based on scientific evidence and focused on postoperative recovery. They encompass all aspects of patient care and require multidisciplinary management, with the participation of diverse specialists. The implementation of these protocols is being extended to several abdominal and extra-abdominal surgeries, including bariatric approaches. Diverse specialists with wide experience in the management of morbidly obese patients have taken part in the working group that developed this protocol. A bibliographic search about ERAS in bariatric surgery in several databases was performed to evaluate the current scientific evidence, establishing evidence levels and recommendations according to the GRADE methodology. The items included in this protocol are separated into preoperative, perioperative and postoperative guidelines.

Keywords: Bariatric surgery; Cirugía bariátrica; Enhanced Recovery After Surgery; Enhanced recovery after surgery; Fast-track recovery; Recuperación intensificada; Rehabilitación multimodal.

MeSH terms

  • Bariatric Surgery / adverse effects*
  • Bariatric Surgery / methods
  • Bariatric Surgery / rehabilitation
  • Bariatric Surgery / trends
  • Enhanced Recovery After Surgery / standards*
  • Female
  • Humans
  • Male
  • Obesity, Morbid / surgery
  • Patient Care Team / organization & administration*
  • Patient Discharge / standards
  • Perioperative Period / nursing
  • Perioperative Period / standards
  • Postoperative Period
  • Preoperative Period