Why the study?
Does an ERAS protocol improve outcomes in patients undergoing bariatric surgery?
Does an ERAS protocol improve outcomes in patients undergoing bariatric surgery?
Implementing an ERAS protocol in bariatric surgery reduces perioperative opioid use, nausea, and early ER visits, despite not reducing length of stay in a historically low-stay program.
Supports ERAS feasibility in small bariatric cohorts; leaves open confirmation of benefits via larger RCTs.
Enhanced recovery after surgery had been introduced with success in many surgical fields, including bariatrics. There are numerous studies presenting how ERAS® has positively affected the outcomes following weight loss surgery. Methods: This is a prospective study that has been held in general Surgery department , Minia University Hospital on 20 patients managed with enhanced recovery protocol after bariatric surgery, between February 2019 and February 2020. Informed consents from all patients have been taken before entering the study. Results: There is significant increase of age in cases with postoperative morbidity (P value 0.021). There is significant increase of length of hospital stay in cases with postoperative morbidity (P value 0.023).Conclusion: Implementing ERAS did not reduce the percentage of patients discharged on postoperative day 1 in a bariatric surgery program with historically low length of stay, but it led to significant reductions in perioperative opioid use, decreases in postoperative nausea, and early emergency room visits.
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Elsayed et al. (2020) studied this question.
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