Experience with an Enhanced Recovery After Surgery (ERAS) Program for Bariatric Surgery: Comparison of MGB and LSG in 374 Patients

Background Strategic multidisciplinary protocols for “enhanced recovery after surgery” (ERAS) have demonstrated reductions in length of hospital stay (LOS), morbidity, and costs in conjunction with bariatric procedures. Methods We prospectively investigated the effectiveness and safety of an ERAS pr...

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Bibliographic Details
Published in:Obesity surgery 2017-07, Vol.27 (7), p.1896-1900
Main Authors: Blanchet, Marie-Cécile, Gignoux, Benoît, Matussière, Yann, Vulliez, Alexandre, Lanz, Thomas, Monier, Fabienne, Frering, Vincent
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aftercare - methods
Aftercare - standards
Aged
Brief Communication
Clinical Protocols
Convalescence
Costs and Cost Analysis
Female
Gastrectomy - economics
Gastrectomy - methods
Gastric Bypass - economics
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Laparoscopy
Length of Stay - economics
Male
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Obesity
Obesity, Morbid - surgery
Perioperative Care - methods
Perioperative Care - standards
Postoperative Period
Prospective Studies
Surgery
Surgical outcomes
Surgical techniques
Young Adult
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Summary:Background Strategic multidisciplinary protocols for “enhanced recovery after surgery” (ERAS) have demonstrated reductions in length of hospital stay (LOS), morbidity, and costs in conjunction with bariatric procedures. Methods We prospectively investigated the effectiveness and safety of an ERAS protocol with laparoscopic omega loop gastric bypass (“mini” gastric bypass, MGB) and LSG in morbidly obese patients. Results Average LOS was 1.24 days (range 1-14); 86.1% discharged on day 1; 96.9% by day 2, a value comparable or better than that of other ERAS studies vs standard care according to meta-analysis. Complications 2.9%; readmission 2.1%; reintervention 1.3%. Conclusion The program was equally safe with both procedures. Postoperative antithrombotic heparin does not appear necessary in low-risk patients. Bariatric surgical ERAS programs are evolving and not yet standardized.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-017-2694-6