Differences Between the 2016 and 2022 Editions of the Enhanced Recovery After Bariatric Surgery (ERABS) Guidelines: Call to Action of FAIR Data and the Creation of a Global Consortium of Bariatric Care and Research

Torensma, Bart; Hisham, Mohamed; Eldawlatly, Abdelazeem; Hany, Mohamed

doi:10.1007/s11695-022-06132-7

Cited by 9 publications

(4 citation statements)

References 35 publications

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“…Common ERAS preoperative protocols include the following: prehabilitation, counseling, smoking and alcohol cessation, preoperative weight loss, multimodal approach to postoperative nausea and vomiting (PONV), and preoperative fasting and carbohydrate loading. [34][35][36] Bariatric Surgery Targeting Opioid Prescriptions (BSTOP) is a newly developed multimodal pain control protocol by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) aimed at reducing perioperative narcotic consumption. 37 BSTOP uses a combination of preoperative acetaminophen, gabapentin and transdermal scopolamine, followed by intraoperative ondansetron, dexamethasone, transversus abdominis plane (TAP) blocks, and limited opioids.…”

Section: Preoperative Work-upmentioning

confidence: 99%

Updates in Bariatric Surgery

Hsu,

Farrell

2023

The American Surgeon™

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Bariatric surgery is currently the most effective long-term treatment for morbid obesity as well as type-2 diabetes mellitus. The field of metabolic and bariatric surgery has seen tremendous growth over the past decade with dramatically reduced risks. This article aims to provide an update on bariatric surgery, highlighting the latest outcomes, improvements, and challenges in the field. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) released a major update to the indications for bariatric surgery at BMI ≥35 kg/m2 regardless of co-morbidities and 30-34.9 kg/m2 with obesity-related comorbidities. Sleeve gastrectomy has emerged as the most popular bariatric procedure in the last 10 years with its remarkable efficacy and safety profile. The implementation of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) and Enhanced Recovery After Surgery (ERAS) protocols have significantly improved the quality of care for all bariatric patients. The recent introduction and FDA approval of Glucagon-Like Peptide-1 (GLP-1) agonists for chronic obesity has garnered significant media coverage and popularity, but no guidelines exist regarding its use in relation to bariatric surgery. This update underscores the need for tailored approaches, ongoing research, and the integration of evidence-based medicine and innovations to enhance patient care.

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Section: Preoperative Work-upmentioning

confidence: 99%

Updates in Bariatric Surgery

Hsu,

Farrell

2023

The American Surgeon™

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“…A nurse plays a vital role in the treatment and care of patients, in their planning for surgery, in teaching patients about future complications after surgery, and in preparing for discharge. The specialized bariatric nurse is an important member of the multidisciplinary bariatric team caring patients before and after the operation (Torensma et al, 2022). Significance of the study:…”

Section: Introductionmentioning

confidence: 99%

Effect of an Educational Program on Minimizing Complications for Patients Post Bariatric Surgeries

Ali Abdel Razek Hablass,

Hamed Mahmoud Mansour,

Saied Taha Refaie

et al. 2023

Journal of Nursing Science Benha University

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Background: Bariatric surgery refers to weight reduction surgeries for obese persons mainly by restricting their food consuming through a variety of surgical procedures performed on gastrointestinal tract by reducing the size of the stomach. Aim of the study: Was to evaluate the effect of an educational program on minimizing complications for patients post bariatric surgeries. Design: Quasi-experimental design was utilized to fulfill the aim of the present study. Setting: Surgical departments and outpatient clinics at Benha University Hospital. Subjects: A purposive sample of 45 bariatric patients based on specific inclusion & exclusion criteria. Tools: Two tools were used in the study. Tool I: Patients' structured interview questionnaire. Tool II: Postoperative complications assessment and follow up sheet. Results: Only more than one fifth of the studied patients had good level of knowledge at preprogram implementation compared to less than half, two thirds & majority of studied patients respectively during 1st month, after 3 & 6 months post program implementation. There was a significant statistical difference between 3 months and 6 months post program implementation in relation to all items of late complication among the studied patients. There was a significant statistical relation between total knowledge score and studied patients residence, educational level as well as occupation preprogram implementation and after 3 months post program implementation at P-value < 0.05. Conclusion: Implementing of an educational program had statistically significant improvement of knowledge and reduction in the incidence of complications among bariatric patients. Recommendations: Replication of the study using a larger probability sample from different geographical regions for generalization of results.

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“…In bariatric surgery, simply the reduction of hospital stay seems to be a sufficient economic argument in favour of the implementation of ERAS protocols. In fact, the first Enhanced Recovery After Bariatric Surgery (ERABS) guidelines were already published in 2016 [ 16 ], and have been recently updated [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass

Higueras

González

Bolaños

et al. 2022

IJERPH

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Introduction: Enhanced Recovery After Surgery (ERAS) protocols have proven to be cost-effective in various surgical procedures, mainly in colorectal surgeries. However, there is still little scientific evidence evaluating the economic impact of their application in bariatric surgery. The present study aimed to compare the economic cost of performing a laparoscopic Roux-en-Y gastric bypass following an ERAS protocol, with the costs of following a standard-of-care protocol. Patients and methods: A prospective non-randomized study of patients undergoing Roux-en-Y gastric bypass was performed. Patients were divided into two groups: patients following an ERAS protocol and patients following a standard-of-care protocol. The total costs of the procedure were subdivided into pharmacological expenditures, surgical material, and time expenses, the price of complementary tests performed during the hospital stay, and costs related to the hospital stay. Results: The 84 patients included 58 women (69%) and 26 men (31%) with a mean age of 44.3 ± 11.6 years. There were no significant differences in age, gender, and distribution of comorbidities between groups. Postoperative pain, nausea or vomiting, and hospital stay were significantly lower within the ERAS group. The pharmacological expenditures, the price of complementary tests performed during the hospital stay, and the costs related to the hospital stay, were significantly lower in the ERAS group. There were no significant differences in the surgical material and surgical time costs between groups. Globally, the total cost of the procedure was significantly lower in the ERAS group with a mean saving of 1458.62$ per patient. The implementation of an ERAS protocol implied a mean saving of 21.25% of the total cost of the procedure. Conclusions: The implementation of an ERAS protocol significantly reduces the perioperative cost of Roux-en-Y gastric bypass.

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Differences Between the 2016 and 2022 Editions of the Enhanced Recovery After Bariatric Surgery (ERABS) Guidelines: Call to Action of FAIR Data and the Creation of a Global Consortium of Bariatric Care and Research

Cited by 9 publications

References 35 publications

Updates in Bariatric Surgery

Updates in Bariatric Surgery

Effect of an Educational Program on Minimizing Complications for Patients Post Bariatric Surgeries

Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass

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