Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

Background This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods A principal literature search was performed...

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Bibliographic Details
Published in:World journal of surgery 2022-04, Vol.46 (4), p.729-751
Main Authors: Stenberg, Erik, dos Reis Falcão, Luiz Fernando, O’Kane, Mary, Liem, Ronald, Pournaras, Dimitri J., Salminen, Paulina, Urman, Richard D., Wadhwa, Anupama, Gustafsson, Ulf O., Thorell, Anders
Format: Article
Language:English
Subjects:
Abdominal Surgery
Bariatric Surgery
Cardiac Surgery
Consensus
Enhanced Recovery After Surgery
Gastrointestinal surgery
General Surgery
Humans
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Perioperative care
Perioperative Care - methods
Prospective Studies
Quality
Recovery
Recovery (Medical)
Scientific Review
Surgery
Thoracic Surgery
Vascular Surgery
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Summary:Background This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations. Results The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence-based practices may need to be extrapolated from other surgeries. Conclusion A comprehensive, updated evidence-based consensus was reached and is presented in this review by the ERAS® Society.
ISSN:0364-2313
1432-2323
1432-2323
DOI:10.1007/s00268-021-06394-9