TY - JOUR
T1 - Guidelines for Perioperative Care in Bariatric Surgery
T2 - Enhanced Recovery After Surgery (ERAS) Society Recommendations
AU - Thorell, A.
AU - MacCormick, A. D.
AU - Awad, S.
AU - Reynolds, N.
AU - Roulin, D.
AU - Demartines, N.
AU - Vignaud, M.
AU - Alvarez, A.
AU - Singh, P. M.
AU - Lobo, D. N.
N1 - Publisher Copyright:
© 2016, Société Internationale de Chirurgie.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Background: During the last two decades, an increasing number of bariatric surgical procedures have been performed worldwide. There is no consensus regarding optimal perioperative care in bariatric surgery. This review aims to present such a consensus and to provide graded recommendations for elements in an evidence-based “enhanced” perioperative protocol. Methods: The English-language literature between January 1966 and January 2015 was searched, with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded. After critical appraisal of these studies, the group of authors reached a consensus recommendation. Results: Although for some elements, recommendations are extrapolated from non-bariatric settings (mainly colorectal), most recommendations are based on good-quality trials or meta-analyses of good-quality trials. Conclusions: A comprehensive evidence-based consensus was reached and is presented in this review by the enhanced recovery after surgery (ERAS) Society. The guidelines were endorsed by the International Association for Surgical Metabolism and Nutrition (IASMEN) and based on the evidence available in the literature for each of the elements of the multimodal perioperative care pathway for patients undergoing bariatric surgery.
AB - Background: During the last two decades, an increasing number of bariatric surgical procedures have been performed worldwide. There is no consensus regarding optimal perioperative care in bariatric surgery. This review aims to present such a consensus and to provide graded recommendations for elements in an evidence-based “enhanced” perioperative protocol. Methods: The English-language literature between January 1966 and January 2015 was searched, with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded. After critical appraisal of these studies, the group of authors reached a consensus recommendation. Results: Although for some elements, recommendations are extrapolated from non-bariatric settings (mainly colorectal), most recommendations are based on good-quality trials or meta-analyses of good-quality trials. Conclusions: A comprehensive evidence-based consensus was reached and is presented in this review by the enhanced recovery after surgery (ERAS) Society. The guidelines were endorsed by the International Association for Surgical Metabolism and Nutrition (IASMEN) and based on the evidence available in the literature for each of the elements of the multimodal perioperative care pathway for patients undergoing bariatric surgery.
UR - http://www.scopus.com/inward/record.url?scp=84960085984&partnerID=8YFLogxK
U2 - 10.1007/s00268-016-3492-3
DO - 10.1007/s00268-016-3492-3
M3 - Review article
C2 - 26943657
AN - SCOPUS:84960085984
SN - 0364-2313
VL - 40
SP - 2065
EP - 2083
JO - World journal of surgery
JF - World journal of surgery
IS - 9
ER -