Enhanced Recovery after Surgery in Bariatric Surgery.
Yeon-Ju HuhDong Jin KimPublished in: Journal of metabolic and bariatric surgery (2021)
The enhanced recovery after surgery (ERAS) program is now widely applied in bariatric surgeries and other surgical procedures. The ERAS program in bariatric surgery consists of various components similar to that in colorectal surgery or other procedures. The major concept of the ERAS protocol relies on a multidisciplinary and multimodal approach to resolve various problems after surgical treatment. The key principles of the ERAS program in bariatric surgery include patient education, opioid-sparing multimodal pain management, prophylaxis of postoperative nausea and vomiting, goal-directed fluid therapy, and minimizing insulin resistance and catabolism. Several guidelines and studies, including randomized clinical trials and systematic reviews, have advocated for the ERAS program in bariatric surgery, which has consistently shown advantages in shortening hospital stay without increasing morbidity. The systematic application of the ERAS program in bariatric patients results in less pain and early recovery and should be routinely recommended.
Keyphrases
- bariatric surgery
- pain management
- weight loss
- quality improvement
- obese patients
- chronic pain
- roux en y gastric bypass
- insulin resistance
- end stage renal disease
- gastric bypass
- systematic review
- healthcare
- chronic kidney disease
- metabolic syndrome
- ejection fraction
- clinical trial
- mental health
- adipose tissue
- emergency department
- stem cells
- spinal cord injury
- mesenchymal stem cells
- glycemic control
- electronic health record
- polycystic ovary syndrome
- patient reported