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Published in: Obesity Surgery 7/2017

01-07-2017 | Brief Communication

Experience with an Enhanced Recovery After Surgery (ERAS) Program for Bariatric Surgery: Comparison of MGB and LSG in 374 Patients

Authors: Marie-Cécile Blanchet, Benoît Gignoux, Yann Matussière, Alexandre Vulliez, Thomas Lanz, Fabienne Monier, Vincent Frering

Published in: Obesity Surgery | Issue 7/2017

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Abstract

Background

Strategic multidisciplinary protocols for “enhanced recovery after surgery” (ERAS) have demonstrated reductions in length of hospital stay (LOS), morbidity, and costs in conjunction with bariatric procedures.

Methods

We prospectively investigated the effectiveness and safety of an ERAS protocol with laparoscopic omega loop gastric bypass (“mini” gastric bypass, MGB) and LSG in morbidly obese patients.

Results

Average LOS was 1.24 days (range 1-14); 86.1% discharged on day 1; 96.9% by day 2, a value comparable or better than that of other ERAS studies vs standard care according to meta-analysis. Complications 2.9%; readmission 2.1%; reintervention 1.3%.

Conclusion

The program was equally safe with both procedures. Postoperative antithrombotic heparin does not appear necessary in low-risk patients. Bariatric surgical ERAS programs are evolving and not yet standardized.
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Metadata
Title
Experience with an Enhanced Recovery After Surgery (ERAS) Program for Bariatric Surgery: Comparison of MGB and LSG in 374 Patients
Authors
Marie-Cécile Blanchet
Benoît Gignoux
Yann Matussière
Alexandre Vulliez
Thomas Lanz
Fabienne Monier
Vincent Frering
Publication date
01-07-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2694-6

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