Published in:
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.