Enhanced recovery after surgery (ERAS) in one-anastomosis gastric bypass surgery: a matched-cohort study

Aktimur, Recep; Kırkıl, Cüneyt; Yıldırım, Kadir; Kutluer, Nizamettin

doi:10.1016/j.soard.2018.08.029

Cited by 14 publications

(8 citation statements)

References 28 publications

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“…The two most recent meta-analyses identified five RCTs and 12 observational studies assessed the application of ERAS for patients undergoing bariatric surgery and almost all of these studies included patients undergoing SG or RYGB [ 5 , 194 ]. The safety and benefits of ERAS protocols in OAGB were assessed in one prospective study reporting shorter LOS and reduced emergency room visits and readmissions after surgery [ 195 ], and in one comparative study between OAGB and SG showing that the program was equally safe with both procedures [ 196 ]. The benefits and safety with the use of an ERAS protocol have been shown after all of the most common bariatric surgeries [ 5 , 194 ].…”

Section: Results: Evidence Base and Recommendationsmentioning

confidence: 99%

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

et al. 2022

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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.

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Section: Results: Evidence Base and Recommendationsmentioning

confidence: 99%

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

et al. 2022

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“…This fact was confirmed in a prospective study by Wood et al 28 that followed patients in the first 30 postoperative days and in a Spanish series 20 that followed patients who underwent laparoscopic operations and evaluated complications up to the period of 180 days. The most commonly observed gain was in reducing the length of hospital stay as observed in the retrospective Cohort by Wisely et al 27 , in the systematic review by Paduraru et al 18 and in a recent study comparing patients undergoing gastric bypass 1 .…”

Section: Discussionmentioning

confidence: 98%

Acerto Project: Impact on Assistance of a Public Emergency Hospital

Sampaio

Leal

et al. 2020

ABCD, arq. bras. cir. dig.

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Background: In Brazil, the goal-based approach was named Project ACERTO and has obtained good results when applied in elective surgeries with shorter hospitalization time, earlier return to activities without increased morbidity and mortality. Aim: To analyze the impact of ACERTO on emergency surgery care. Methods: An intervention study was performed at a trauma hospital. Were compared 452 patients undergoing emergency surgery and followed up by the general surgery service from October to December 2018 (pre-ACERTO, n=243) and from March to June 2019 (post-ACERTO, n=209). Dietary reintroduction, volume of infused postoperative venous hydration, duration of use of catheters, probes and drains, postoperative analgesia, prevention of postoperative vomiting, early mobilization and physiotherapy were evaluated. Results: After the ACERTO implantation there was earlier reintroduction of the diet, the earlier optimal caloric intake, earlier venous hydration withdrawal, higher postoperative analgesia prescription, postoperative vomiting prophylaxis and higher physiotherapy and mobilization prescription were achieved early in all (p<0.01); in the multivariate analysis there was no change in the complication rates observed before and after ACERTO (10.7% vs. 7.7% (p=0.268) and there was a decrease in the length of hospitalization after ACERTO (8,5 vs. 6,1 dias (p=0.008). Conclusion: The implementation of the ACERTO project decreased the length of hospital stay, improved medical care provided without increasing the rates of complications evaluated.

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“…In recent years, there has been a growing interest in the ERAS protocol applied to BMS, although there is a need of raising awareness, implementation, and standardization of the protocol, with a multimodal, simple, efficient, and cost-effective approach in the care of bariatric patients [30]. Aktimur et al [31] showed significant reduction in the LOS of bariatric surgery patients. It also showed decrease in 30 day postoperative re-hospital visits in ERAS patients compared with standard protocol.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery After Surgery (ERAS) protocol in bariatric and metabolic surgery (BMS)—analysis of practices in nutritional aspects from five continents

et al. 2020

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This study aims to understand the prevalent practices on the nutritional aspects of the enhanced recovery after surgery (ERAS) protocol based on the knowledge and practice of surgeons, nutritionists, and anesthesiologists who work in the bariatric and metabolic surgery (BMS) units worldwide. This cross-sectional study enrolled BMS unit professionals from five continents-Africa, America, Asia, Europe, and Oceania. An electronic questionnaire developed by the researchers was provided to evaluate practices about the three nutritional aspects of ERAS protocol in BMS (Thorel et al. 2016): preoperative fasting, carbohydrate loading, and early postoperative nutrition. Only surgeons, nutritionists, and anesthesiologists were invited to participate. One hundred twenty-five professionals answered the questionnaires: 50.4% from America and 39.2% from Europe. The profile of participating professionals was bariatric surgeons 70.2%, nutritionists 26.4%, and anesthesiologists 3.3%. Approximately 47.9% of professionals work in private services, for about 11 to 20 years (48.7%). In all continents, a large majority were aware of the protocol. Professionals from the African continent reported having implemented the ERAS bariatric protocol 4.0 ± 0 years ago. It is worth mentioning that professionals from the five continents implemented the ERAS protocol based on the published literature (p = 0.012). About preoperative fasting abbreviation protocol, a significant difference was found between continents and consequently between services (p = 0.000). There is no uniformity in the conduct of shortening of fasting in the preoperative period and the immediate postoperative period. Early postoperative (PO) period protein supplementation is not performed in a standard fashion in all units globally. ERAS principles and practices are partial and insufficiently implemented on the five continents despite the prevalent knowledge of professionals based on evidence. Moreover, there is no uniformity in fasting, immediate postoperative diet, and early protein supplementation practices globally.

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Enhanced recovery after surgery (ERAS) in one-anastomosis gastric bypass surgery: a matched-cohort study

Cited by 14 publications

References 28 publications

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

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

Acerto Project: Impact on Assistance of a Public Emergency Hospital

Enhanced Recovery After Surgery (ERAS) protocol in bariatric and metabolic surgery (BMS)—analysis of practices in nutritional aspects from five continents

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