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World Journal of Surgery
Published in: World Journal of Surgery 9/2016

01-09-2016 | Scientific Review

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

Authors: A. Thorell, A. D. MacCormick, S. Awad, N. Reynolds, D. Roulin, N. Demartines, M. Vignaud, A. Alvarez, P. M. Singh, D. N. Lobo

Published in: World Journal of Surgery | Issue 9/2016

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Abstract

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.
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Metadata
Title
Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations
Authors
A. Thorell
A. D. MacCormick
S. Awad
N. Reynolds
D. Roulin
N. Demartines
M. Vignaud
A. Alvarez
P. M. Singh
D. N. Lobo
Publication date
01-09-2016
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 9/2016
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-016-3492-3

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