An analysis of enhanced recovery pathways for bariatric surgery-preoperative fasting, carbohydrate loading, and aspiration risk: a position statement from the International Society for the Perioperative Care of Patients with Obesity.
Fallon NgoRichard D UrmanWayne EnglishShanu KothariEric DeMariaAnupama WadhwaPublished in: Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery (2023)
Enhanced recovery pathways (ERPs) and recommendations have become widely accepted for metabolic and bariatric surgery, including recommendations for preoperative carbohydrate loading and duration of fasting status. There is still a lack of consensus regarding such protocols and the underlying issues of gastric emptying time, resting gastric volume and pH, and risk of aspiration in patients with severe obesity and in patients undergoing bariatric surgery. The goal of this position statement by the International Society for the Perioperative Care of Patients with Obesity (ISPCOP) is to provide an analysis of available data on preoperative fasting and loading with oral complex clear carbohydrate drinks as well its potential effects on perioperative risk of aspiration in the context of Enhanced Recovery Pathways for Metabolic and Bariatric Surgery (ERAMBS).
Keyphrases
- bariatric surgery
- patients undergoing
- weight loss
- insulin resistance
- obese patients
- metabolic syndrome
- blood glucose
- ultrasound guided
- healthcare
- high fat diet induced
- palliative care
- type diabetes
- weight gain
- glycemic control
- clinical practice
- adipose tissue
- quality improvement
- cardiac surgery
- skeletal muscle
- heart rate
- early onset
- blood pressure
- big data
- heart rate variability
- drug induced