Skip to main content
Top
Published in: Obesity Surgery 6/2012

01-06-2012 | Review

Optimizing Perioperative Care in Bariatric Surgery Patients

Authors: Daniel P. Lemanu, Sanket Srinivasa, Primal P. Singh, Sharon Johannsen, Andrew D. MacCormick, Andrew G. Hill

Published in: Obesity Surgery | Issue 6/2012

Login to get access

Abstract

Enhanced recovery after surgery (ERAS) programs have been shown to minimise morbidity in other types of surgery, but comparatively less data exist investigating ERAS in bariatric surgery. This article reviews the existing literature to identify interventions which may be included in an ERAS program for bariatric surgery. A narrative literature review was conducted. Search terms included ‘bariatric surgery’, ‘weight loss surgery’, ‘gastric bypass’, ‘ERAS’, ‘enhanced recovery’, ‘enhanced recovery after surgery’, ‘fast-track surgery’, ‘perioperative care’, ‘postoperative care’, ‘intraoperative care’ and ‘preoperative care’. Interventions recovered by the database search, as well as interventions garnered from clinical experience in ERAS, were used as individual search terms. A large volume of evidence exists detailing the role of multiple interventions in perioperative care. However, efficacy and safety for a proportion of these interventions for ERAS in bariatric surgery remain unclear. This review concludes that there is potential to implement ERAS programs in bariatric surgery.
Literature
1.
go back to reference Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Ass. 2009;13:1–190. Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Ass. 2009;13:1–190.
2.
go back to reference Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.PubMedCrossRef Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.PubMedCrossRef
3.
go back to reference Colquitt JL, Picot J, Loveman E, et al. Surgery for obesity. Cochrane Database Syst Rev. 2009;2:CD003641.PubMed Colquitt JL, Picot J, Loveman E, et al. Surgery for obesity. Cochrane Database Syst Rev. 2009;2:CD003641.PubMed
4.
go back to reference Varadhan KK, Neal KR, Dejong CH, et al. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010;29:434–40.PubMedCrossRef Varadhan KK, Neal KR, Dejong CH, et al. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010;29:434–40.PubMedCrossRef
5.
go back to reference Spanjersberg WR, Reurings J, Keus F, et al. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011;2:CD007635.PubMed Spanjersberg WR, Reurings J, Keus F, et al. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011;2:CD007635.PubMed
6.
go back to reference Mechanick J, Kushner R, Sugerman H, et al. American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Endocr Pract. 2008;14:1–83.PubMed Mechanick J, Kushner R, Sugerman H, et al. American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Endocr Pract. 2008;14:1–83.PubMed
7.
go back to reference Grantcharov TP, Kehlet H. Laparoscopic gastric surgery in an enhanced recovery programme. Br J Surg. 2010;97:1547–51.PubMedCrossRef Grantcharov TP, Kehlet H. Laparoscopic gastric surgery in an enhanced recovery programme. Br J Surg. 2010;97:1547–51.PubMedCrossRef
8.
go back to reference McCarty TM, Arnold DT, Lamont JP, et al. Optimizing outcomes in bariatric surgery: outpatient laparoscopic gastric bypass. Ann Surg. 2005;242:494–8.PubMed McCarty TM, Arnold DT, Lamont JP, et al. Optimizing outcomes in bariatric surgery: outpatient laparoscopic gastric bypass. Ann Surg. 2005;242:494–8.PubMed
9.
go back to reference Bamgbade O, Adeogun B, Abbas K. Fast-track laparoscopic gastric bypass surgery: outcomes and lessons from a bariatric surgery service in the United Kingdom. Obes Surg. 2012;22(3):398–402.PubMedCrossRef Bamgbade O, Adeogun B, Abbas K. Fast-track laparoscopic gastric bypass surgery: outcomes and lessons from a bariatric surgery service in the United Kingdom. Obes Surg. 2012;22(3):398–402.PubMedCrossRef
10.
go back to reference Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248:189–98.PubMedCrossRef Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248:189–98.PubMedCrossRef
11.
go back to reference van Hout G, van Heck G. Bariatric psychology, psychological aspects of weight loss surgery. Obes Facts. 2009;2:10–5.PubMedCrossRef van Hout G, van Heck G. Bariatric psychology, psychological aspects of weight loss surgery. Obes Facts. 2009;2:10–5.PubMedCrossRef
12.
go back to reference Zargar-Shoshtari K, Hill AG. Optimization of perioperative care for colonic surgery: a review of the evidence. ANZ J Surg. 2008;78:13–23.PubMedCrossRef Zargar-Shoshtari K, Hill AG. Optimization of perioperative care for colonic surgery: a review of the evidence. ANZ J Surg. 2008;78:13–23.PubMedCrossRef
13.
go back to reference Mechanick JI, Kushner RF, Sugerman HJ, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity (Silver Spring). 2009;17 Suppl 1:S1–70, v. Mechanick JI, Kushner RF, Sugerman HJ, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity (Silver Spring). 2009;17 Suppl 1:S1–70, v.
14.
go back to reference SAGES Guidelines Committee. SAGES guideline for clinical application of laparoscopic bariatric surgery. Surg Endosc. 2008;22:2281–300.CrossRef SAGES Guidelines Committee. SAGES guideline for clinical application of laparoscopic bariatric surgery. Surg Endosc. 2008;22:2281–300.CrossRef
15.
go back to reference Carli F, Zavorsky GS. Optimizing functional exercise capacity in the elderly surgical population. Curr Opin Clin Nutr Metab Care. 2005;8:23–32.PubMedCrossRef Carli F, Zavorsky GS. Optimizing functional exercise capacity in the elderly surgical population. Curr Opin Clin Nutr Metab Care. 2005;8:23–32.PubMedCrossRef
16.
go back to reference Alkarmi A, Thijssen DHJ, Albouaini K, et al. Arterial prehabilitation: can exercise induce changes in artery size and function that decrease complications of catheterization? Sports Med. 2010;40:481–92.PubMedCrossRef Alkarmi A, Thijssen DHJ, Albouaini K, et al. Arterial prehabilitation: can exercise induce changes in artery size and function that decrease complications of catheterization? Sports Med. 2010;40:481–92.PubMedCrossRef
17.
go back to reference Gill TM, Baker DI, Gottschalk M, et al. A prehabilitation program for physically frail community-living older persons. Arch Phys Med Rehabil. 2003;84:394–404.PubMedCrossRef Gill TM, Baker DI, Gottschalk M, et al. A prehabilitation program for physically frail community-living older persons. Arch Phys Med Rehabil. 2003;84:394–404.PubMedCrossRef
18.
go back to reference Gill TM, Baker DI, Gottschalk M, et al. A prehabilitation program for the prevention of functional decline: effect on higher-level physical function. Arch Phys Med Rehabil. 2004;85:1043–9.PubMedCrossRef Gill TM, Baker DI, Gottschalk M, et al. A prehabilitation program for the prevention of functional decline: effect on higher-level physical function. Arch Phys Med Rehabil. 2004;85:1043–9.PubMedCrossRef
19.
go back to reference Nielsen PR, Jørgensen LD, Dahl B, et al. Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial. Clin Rehabil. 2010;24:137–48.PubMedCrossRef Nielsen PR, Jørgensen LD, Dahl B, et al. Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial. Clin Rehabil. 2010;24:137–48.PubMedCrossRef
20.
go back to reference Carli F, Charlebois P, Stein B, et al. Randomized clinical trial of prehabilitation in colorectal surgery. Br J Surg. 2010;97:1187–97.PubMedCrossRef Carli F, Charlebois P, Stein B, et al. Randomized clinical trial of prehabilitation in colorectal surgery. Br J Surg. 2010;97:1187–97.PubMedCrossRef
21.
go back to reference Kean CO, Birmingham TB, Garland SJ, et al. Preoperative strength training for patients undergoing high tibial osteotomy: a prospective cohort study with historical controls. J Orthop Sports Phys Ther. 2011;41:52–9.PubMed Kean CO, Birmingham TB, Garland SJ, et al. Preoperative strength training for patients undergoing high tibial osteotomy: a prospective cohort study with historical controls. J Orthop Sports Phys Ther. 2011;41:52–9.PubMed
22.
go back to reference Gupta PK, Franck C, Miller WJ, et al. Development and validation of a bariatric surgery morbidity risk calculator using the prospective, multicenter NSQIP dataset. J Am Coll Surg. 2011;212:301–9.PubMedCrossRef Gupta PK, Franck C, Miller WJ, et al. Development and validation of a bariatric surgery morbidity risk calculator using the prospective, multicenter NSQIP dataset. J Am Coll Surg. 2011;212:301–9.PubMedCrossRef
23.
go back to reference Kim DJ, Mayo NE, Carli F, et al. Responsive measures to prehabilitation in patients undergoing bowel resection surgery. Tohoku J Exp Med. 2009;217:109–15.CrossRef Kim DJ, Mayo NE, Carli F, et al. Responsive measures to prehabilitation in patients undergoing bowel resection surgery. Tohoku J Exp Med. 2009;217:109–15.CrossRef
24.
go back to reference Lim RB, Blackburn GL, Jones DB. Benchmarking best practices in weight loss surgery. Curr Prob Surg. 2010;47:79–174.CrossRef Lim RB, Blackburn GL, Jones DB. Benchmarking best practices in weight loss surgery. Curr Prob Surg. 2010;47:79–174.CrossRef
25.
go back to reference Xanthakos SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin North Am. 2009;56:1105–21.PubMedCrossRef Xanthakos SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin North Am. 2009;56:1105–21.PubMedCrossRef
26.
go back to reference Moizé V, Deulofeu R, Torres F, et al. Nutritional intake and prevalence of nutritional deficiencies prior to surgery in a Spanish morbidly obese population. Obes Surg. 2011;21(9):1382–8.PubMedCrossRef Moizé V, Deulofeu R, Torres F, et al. Nutritional intake and prevalence of nutritional deficiencies prior to surgery in a Spanish morbidly obese population. Obes Surg. 2011;21(9):1382–8.PubMedCrossRef
27.
go back to reference Harbottle L. Audit of nutritional and dietary outcomes of bariatric surgery patients. Obes Rev. 2011;12:198–204.PubMedCrossRef Harbottle L. Audit of nutritional and dietary outcomes of bariatric surgery patients. Obes Rev. 2011;12:198–204.PubMedCrossRef
28.
go back to reference Ducloux R, Nobécourt E, Chevallier JM, et al. Vitamin D deficiency before bariatric surgery: should supplement intake be routinely prescribed? Obes Surg. 2011;21:556–60.PubMedCrossRef Ducloux R, Nobécourt E, Chevallier JM, et al. Vitamin D deficiency before bariatric surgery: should supplement intake be routinely prescribed? Obes Surg. 2011;21:556–60.PubMedCrossRef
29.
go back to reference Sallé A, Demarsy D, Poirier A, et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg. 2010;20:1660–70.PubMedCrossRef Sallé A, Demarsy D, Poirier A, et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg. 2010;20:1660–70.PubMedCrossRef
30.
go back to reference Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26:1031–7.PubMedCrossRef Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26:1031–7.PubMedCrossRef
31.
go back to reference Aarts EO, Janssen IMC, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients? Obes Surg. 2011;21:207–11.PubMedCrossRef Aarts EO, Janssen IMC, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients? Obes Surg. 2011;21:207–11.PubMedCrossRef
32.
go back to reference Tønnesen H, Nielsen PR, Lauritzen JB, et al. Smoking and alcohol intervention before surgery: evidence for best practice. Br J Anaesth. 2009;102:297–306.PubMedCrossRef Tønnesen H, Nielsen PR, Lauritzen JB, et al. Smoking and alcohol intervention before surgery: evidence for best practice. Br J Anaesth. 2009;102:297–306.PubMedCrossRef
33.
go back to reference Tønnesen H, Faurschou P, Ralov H, et al. Risk reduction before surgery. The role of the primary care provider in preoperative smoking and alcohol cessation. BMC Health Serv Res. 2010;10:121.PubMedCrossRef Tønnesen H, Faurschou P, Ralov H, et al. Risk reduction before surgery. The role of the primary care provider in preoperative smoking and alcohol cessation. BMC Health Serv Res. 2010;10:121.PubMedCrossRef
34.
go back to reference Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17:260–70.PubMedCrossRef Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17:260–70.PubMedCrossRef
35.
go back to reference Turan A, Mascha EJ, Roberman D, et al. Smoking and perioperative outcomes. Anesthesiology. 2011;114:837–46.PubMedCrossRef Turan A, Mascha EJ, Roberman D, et al. Smoking and perioperative outcomes. Anesthesiology. 2011;114:837–46.PubMedCrossRef
36.
go back to reference Gourgiotis S, Aloizos S, Aravosita P, et al. The effects of tobacco smoking on the incidence and risk of intraoperative and postoperative complications in adults. Surgeon. 2011;9:225–32.PubMedCrossRef Gourgiotis S, Aloizos S, Aravosita P, et al. The effects of tobacco smoking on the incidence and risk of intraoperative and postoperative complications in adults. Surgeon. 2011;9:225–32.PubMedCrossRef
37.
go back to reference Nath B, Li Y, Carroll JE, et al. Alcohol exposure as a risk factor for adverse outcomes in elective surgery. J Gastrointest Surg. 2010;14:1732–41.PubMedCrossRef Nath B, Li Y, Carroll JE, et al. Alcohol exposure as a risk factor for adverse outcomes in elective surgery. J Gastrointest Surg. 2010;14:1732–41.PubMedCrossRef
38.
go back to reference Alvarado R, Alami R, Hsu G, et al. The impact of preoperative weight loss in patients undergoing laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2005;15:1282–6.PubMedCrossRef Alvarado R, Alami R, Hsu G, et al. The impact of preoperative weight loss in patients undergoing laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2005;15:1282–6.PubMedCrossRef
39.
go back to reference Still CD, Benotti P, Wood GC, et al. Outcomes of preoperative weight loss in high-risk patients undergoing gastric bypass surgery. Arch Surg. 2007;142:994–8.PubMedCrossRef Still CD, Benotti P, Wood GC, et al. Outcomes of preoperative weight loss in high-risk patients undergoing gastric bypass surgery. Arch Surg. 2007;142:994–8.PubMedCrossRef
40.
go back to reference Alami RS, Morton JM, Schuster R, et al. Is there a benefit to preoperative weight loss in gastric bypass patients? A prospective randomized trial. Surg Obes Relat Dis. 2007;3:141–5.PubMedCrossRef Alami RS, Morton JM, Schuster R, et al. Is there a benefit to preoperative weight loss in gastric bypass patients? A prospective randomized trial. Surg Obes Relat Dis. 2007;3:141–5.PubMedCrossRef
41.
go back to reference Livhits M, Mercado C, Yermilov I, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70–89.PubMedCrossRef Livhits M, Mercado C, Yermilov I, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70–89.PubMedCrossRef
42.
go back to reference Soreide E, Eriksson LI, Hirlekar G, et al. Pre-operative fasting guidelines: an update. Acta Anaesthesiol Scand. 2005;49:1041–7.PubMedCrossRef Soreide E, Eriksson LI, Hirlekar G, et al. Pre-operative fasting guidelines: an update. Acta Anaesthesiol Scand. 2005;49:1041–7.PubMedCrossRef
43.
go back to reference Cook-Sather S, Gallagher P, Kruge L, et al. Overweight/obesity and gastric fluid characteristics in pediatric day surgery: implications for fasting guidelines and pulmonary aspiration risk. Anesth Analg. 2009;109:727–36.PubMedCrossRef Cook-Sather S, Gallagher P, Kruge L, et al. Overweight/obesity and gastric fluid characteristics in pediatric day surgery: implications for fasting guidelines and pulmonary aspiration risk. Anesth Analg. 2009;109:727–36.PubMedCrossRef
44.
go back to reference Harter R, Kelly W, Kramer M, et al. A comparison of the volume and pH of gastric contents of obese and lean surgical patients. Anesth Analg. 1998;86:147–52.PubMed Harter R, Kelly W, Kramer M, et al. A comparison of the volume and pH of gastric contents of obese and lean surgical patients. Anesth Analg. 1998;86:147–52.PubMed
45.
go back to reference Maltby J, Pytka S, Watson N, et al. Drinking 300 mL of clear fluid 2 h before surgery has no effect on gastric fluid volume and pH in fasting and non-fasting obese patients. Can J Anaesth. 2004;51:111–5.PubMedCrossRef Maltby J, Pytka S, Watson N, et al. Drinking 300 mL of clear fluid 2 h before surgery has no effect on gastric fluid volume and pH in fasting and non-fasting obese patients. Can J Anaesth. 2004;51:111–5.PubMedCrossRef
47.
go back to reference Srinivasa S, Kahokehr AA, Yu TC, et al. Preoperative glucocorticoid use in major abdominal surgery: systematic review and meta-analysis of randomised trials. Ann Surg. 2011;254:183–91.PubMedCrossRef Srinivasa S, Kahokehr AA, Yu TC, et al. Preoperative glucocorticoid use in major abdominal surgery: systematic review and meta-analysis of randomised trials. Ann Surg. 2011;254:183–91.PubMedCrossRef
48.
go back to reference Hans P, Vanthuyne A, Dewandre PY, et al. Blood glucose concentration profile after 10 mg dexamethasone in non-diabetic and type 2 diabetic patients undergoing abdominal surgery. Br J Anaesth. 2006;97:164–70.PubMedCrossRef Hans P, Vanthuyne A, Dewandre PY, et al. Blood glucose concentration profile after 10 mg dexamethasone in non-diabetic and type 2 diabetic patients undergoing abdominal surgery. Br J Anaesth. 2006;97:164–70.PubMedCrossRef
49.
go back to reference Holte K, Kehlet H. Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications. J Am Coll Surg. 2002;195:694–712.PubMedCrossRef Holte K, Kehlet H. Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications. J Am Coll Surg. 2002;195:694–712.PubMedCrossRef
50.
go back to reference Ogunnaike BO, Jones SB, Jones DB, et al. Anesthetic considerations for bariatric surgery. Anesth Analg. 2002;95:1793–805.PubMedCrossRef Ogunnaike BO, Jones SB, Jones DB, et al. Anesthetic considerations for bariatric surgery. Anesth Analg. 2002;95:1793–805.PubMedCrossRef
51.
go back to reference de Menezes Ettinger JEMT, dos Santos Filho PV, Azaro E, et al. Prevention of rhabdomyolysis in bariatric surgery. Obes Surg. 2005;15:874–9.PubMedCrossRef de Menezes Ettinger JEMT, dos Santos Filho PV, Azaro E, et al. Prevention of rhabdomyolysis in bariatric surgery. Obes Surg. 2005;15:874–9.PubMedCrossRef
52.
go back to reference Mason DS, Sapala JA, Wood MH, et al. Influence of a forced air warming system on morbidly obese patients undergoing Roux-en-Y gastric bypass. Obes Surg. 1998;8:453–60.PubMedCrossRef Mason DS, Sapala JA, Wood MH, et al. Influence of a forced air warming system on morbidly obese patients undergoing Roux-en-Y gastric bypass. Obes Surg. 1998;8:453–60.PubMedCrossRef
53.
go back to reference Nguyen NT, Fleming NW, Singh A, et al. Evaluation of core temperature during laparoscopic and open gastric bypass. Obes Surg. 2001;11:570–5.PubMedCrossRef Nguyen NT, Fleming NW, Singh A, et al. Evaluation of core temperature during laparoscopic and open gastric bypass. Obes Surg. 2001;11:570–5.PubMedCrossRef
54.
go back to reference Buttenschoen K, Fathimani K, Buttenschoen DC. Effect of major abdominal surgery on the host immune response to infection. Curr Opin Infect Dis. 2010;23:259–67.PubMedCrossRef Buttenschoen K, Fathimani K, Buttenschoen DC. Effect of major abdominal surgery on the host immune response to infection. Curr Opin Infect Dis. 2010;23:259–67.PubMedCrossRef
55.
go back to reference Pelosi P, Gregoretti C. Perioperative management of obese patients. Best Prac Res Clin Anaesth. 2010;24:211–25.CrossRef Pelosi P, Gregoretti C. Perioperative management of obese patients. Best Prac Res Clin Anaesth. 2010;24:211–25.CrossRef
56.
go back to reference Reinius H, Jonsson L, Gustafsson S, et al. Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anaesthesiology. 2009;111:979–87.CrossRef Reinius H, Jonsson L, Gustafsson S, et al. Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anaesthesiology. 2009;111:979–87.CrossRef
57.
go back to reference Damia G, Mascheroni D, Croci M, et al. Perioperative changes in functional residual capacity in morbidly obese patients. Br J Anaesth. 1988;60:574–8.PubMedCrossRef Damia G, Mascheroni D, Croci M, et al. Perioperative changes in functional residual capacity in morbidly obese patients. Br J Anaesth. 1988;60:574–8.PubMedCrossRef
58.
go back to reference Talab HF, Zabani IA, Abdelrahman HS, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg. 2009;109:1511–6.PubMedCrossRef Talab HF, Zabani IA, Abdelrahman HS, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg. 2009;109:1511–6.PubMedCrossRef
59.
go back to reference Bergland A, Gislason H, Raeder J. Fast-track surgery for bariatric laparoscopic gastric bypass with focus on anaesthesia and peri-operative care. Experience with 500 cases. Acta Anaesthesiol Scand. 2008;52:1394–9.PubMedCrossRef Bergland A, Gislason H, Raeder J. Fast-track surgery for bariatric laparoscopic gastric bypass with focus on anaesthesia and peri-operative care. Experience with 500 cases. Acta Anaesthesiol Scand. 2008;52:1394–9.PubMedCrossRef
60.
go back to reference Imberger G, McIlroy D, Pace NL, et al. Positive end-expiratory pressure (PEEP) during anaesthesia for the prevention of mortality and postoperative pulmonary complications. Cochrane Database Syst Rev. 2010;9:CD007922.PubMed Imberger G, McIlroy D, Pace NL, et al. Positive end-expiratory pressure (PEEP) during anaesthesia for the prevention of mortality and postoperative pulmonary complications. Cochrane Database Syst Rev. 2010;9:CD007922.PubMed
61.
go back to reference Mendes MN, Monteiro Rde S, Martins FA. Prophylaxis of postoperative nausea and vomiting in morbidly obese patients undergoing laparoscopic gastroplasties: a comparative study among three methods. Rev Bras Anestesiol. 2009;59:570–6.PubMedCrossRef Mendes MN, Monteiro Rde S, Martins FA. Prophylaxis of postoperative nausea and vomiting in morbidly obese patients undergoing laparoscopic gastroplasties: a comparative study among three methods. Rev Bras Anestesiol. 2009;59:570–6.PubMedCrossRef
62.
go back to reference Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97:595–600.PubMedCrossRef Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97:595–600.PubMedCrossRef
63.
go back to reference Dhonneur G, Abdi W, Ndoko SK, et al. Video-assisted versus conventional tracheal intubation in morbidly obese patients. Obes Surg. 2009;19:1096–101.PubMedCrossRef Dhonneur G, Abdi W, Ndoko SK, et al. Video-assisted versus conventional tracheal intubation in morbidly obese patients. Obes Surg. 2009;19:1096–101.PubMedCrossRef
64.
go back to reference Buchwald H. Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. J Am Coll Surg. 2005;200:593–604.PubMedCrossRef Buchwald H. Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. J Am Coll Surg. 2005;200:593–604.PubMedCrossRef
65.
go back to reference Ceriani V, Lodi T, Porta A, et al. Laparoscopic versus open biliopancreatic diversion: a prospective comparative study. Obes Surg. 2010;20:1348–53.PubMedCrossRef Ceriani V, Lodi T, Porta A, et al. Laparoscopic versus open biliopancreatic diversion: a prospective comparative study. Obes Surg. 2010;20:1348–53.PubMedCrossRef
66.
go back to reference Han SH, Gracia C, Mehran A, et al. Improved outcomes using a systematic and evidence-based approach to the laparoscopic Roux-en-Y gastric bypass in a single academic institution. Am Surg. 2007;73:955–8.PubMed Han SH, Gracia C, Mehran A, et al. Improved outcomes using a systematic and evidence-based approach to the laparoscopic Roux-en-Y gastric bypass in a single academic institution. Am Surg. 2007;73:955–8.PubMed
67.
go back to reference Weller WE, Rosati C. Comparing outcomes of laparoscopic versus open bariatric surgery. Ann Surg. 2008;248:10–5.PubMedCrossRef Weller WE, Rosati C. Comparing outcomes of laparoscopic versus open bariatric surgery. Ann Surg. 2008;248:10–5.PubMedCrossRef
68.
go back to reference Lee SM, Pryor AD. Future directions in bariatric surgery. Surg Clin North Am. 2011;91:1373–95, x.PubMedCrossRef Lee SM, Pryor AD. Future directions in bariatric surgery. Surg Clin North Am. 2011;91:1373–95, x.PubMedCrossRef
69.
go back to reference Prachand VN. The evolution of minimally invasive bariatric surgery. World J Surg. 2011;35:1464–8.PubMedCrossRef Prachand VN. The evolution of minimally invasive bariatric surgery. World J Surg. 2011;35:1464–8.PubMedCrossRef
70.
go back to reference Kakarla VR, Nandipati K, Lalla M, et al. Are laparoscopic bariatric procedures safe in superobese (BMI ≥ 50 kg/m2) patients? An NSQIP data analysis. Surg Obes Relat Dis. 2011;7:452–8.PubMedCrossRef Kakarla VR, Nandipati K, Lalla M, et al. Are laparoscopic bariatric procedures safe in superobese (BMI ≥ 50 kg/m2) patients? An NSQIP data analysis. Surg Obes Relat Dis. 2011;7:452–8.PubMedCrossRef
71.
go back to reference Kelles SM, Barreto SM, Guerra HL. Mortality and hospital stay after bariatric surgery in 2,167 patients: influence of the surgeon expertise. Obes Surg. 2009;19:1228–35.PubMedCrossRef Kelles SM, Barreto SM, Guerra HL. Mortality and hospital stay after bariatric surgery in 2,167 patients: influence of the surgeon expertise. Obes Surg. 2009;19:1228–35.PubMedCrossRef
72.
go back to reference Marsk R, Tynelius P, Rasmussen F, et al. Short-term morbidity and mortality after open versus laparoscopic gastric bypass surgery. A population-based study from Sweden. Obes Surg. 2009;19:1485–90.PubMedCrossRef Marsk R, Tynelius P, Rasmussen F, et al. Short-term morbidity and mortality after open versus laparoscopic gastric bypass surgery. A population-based study from Sweden. Obes Surg. 2009;19:1485–90.PubMedCrossRef
73.
go back to reference El-Dawlatly A, Mansour E, Al-Shaer AA, et al. Impedance cardiography: noninvasive assessment of hemodynamics and thoracic fluid content during bariatric surgery. Obes Surg. 2005;15:655–8.PubMedCrossRef El-Dawlatly A, Mansour E, Al-Shaer AA, et al. Impedance cardiography: noninvasive assessment of hemodynamics and thoracic fluid content during bariatric surgery. Obes Surg. 2005;15:655–8.PubMedCrossRef
74.
go back to reference Caruana JA, McCabe MN, Smith AD, et al. Roux en Y gastric bypass by single-incision mini-laparotomy: outcomes in 3,300 consecutive patients. Obes Surg. 2011;21:820–4.PubMedCrossRef Caruana JA, McCabe MN, Smith AD, et al. Roux en Y gastric bypass by single-incision mini-laparotomy: outcomes in 3,300 consecutive patients. Obes Surg. 2011;21:820–4.PubMedCrossRef
75.
go back to reference Sammour T, Kahokehr A, Hill AG. Meta-analysis of the effect of warm humidified insufflation on pain after laparoscopy. Br J Surg. 2008;95:950–6.PubMedCrossRef Sammour T, Kahokehr A, Hill AG. Meta-analysis of the effect of warm humidified insufflation on pain after laparoscopy. Br J Surg. 2008;95:950–6.PubMedCrossRef
76.
go back to reference Savel R, Balasubramanya S, Lasheen S, et al. Beneficial effects of humidified, warmed carbon dioxide insufflation during laparoscopic bariatric surgery: a randomized clinical trial. Obes Surg. 2005;15:64–9.PubMedCrossRef Savel R, Balasubramanya S, Lasheen S, et al. Beneficial effects of humidified, warmed carbon dioxide insufflation during laparoscopic bariatric surgery: a randomized clinical trial. Obes Surg. 2005;15:64–9.PubMedCrossRef
77.
go back to reference Davis SS, Mikami DJ, Newlin M, et al. Heating and humidifying of carbon dioxide during pneumoperitoneum is not indicated: a prospective randomized trial. Surg Endosc. 2006;20:153–8.PubMedCrossRef Davis SS, Mikami DJ, Newlin M, et al. Heating and humidifying of carbon dioxide during pneumoperitoneum is not indicated: a prospective randomized trial. Surg Endosc. 2006;20:153–8.PubMedCrossRef
78.
go back to reference Ettinger JE, de Souza CA, Santos-Filho PV, et al. Rhabdomyolysis: diagnosis and treatment in bariatric surgery. Obes Surg. 2007;17:525–32.PubMedCrossRef Ettinger JE, de Souza CA, Santos-Filho PV, et al. Rhabdomyolysis: diagnosis and treatment in bariatric surgery. Obes Surg. 2007;17:525–32.PubMedCrossRef
79.
80.
go back to reference Jain AK, Dutta A. Stroke volume variation as a guide to fluid administration in morbidly obese patients undergoing laparoscopic bariatric surgery. Obes Surg. 2010;20:709–15.PubMedCrossRef Jain AK, Dutta A. Stroke volume variation as a guide to fluid administration in morbidly obese patients undergoing laparoscopic bariatric surgery. Obes Surg. 2010;20:709–15.PubMedCrossRef
81.
go back to reference Wool DB, Lemmens HJM, Brodsky JB, et al. Intraoperative fluid replacement and postoperative creatine phosphokinase levels in laparoscopic bariatric patients. Obes Surg. 2010;20:698–701.PubMedCrossRef Wool DB, Lemmens HJM, Brodsky JB, et al. Intraoperative fluid replacement and postoperative creatine phosphokinase levels in laparoscopic bariatric patients. Obes Surg. 2010;20:698–701.PubMedCrossRef
82.
go back to reference Serafini F, Anderson W, Ghassemi P, et al. The utility of contrast studies and drains in the management of patients after Roux-en-Y gastric bypass. Obes Surg. 2002;12:34–8.PubMedCrossRef Serafini F, Anderson W, Ghassemi P, et al. The utility of contrast studies and drains in the management of patients after Roux-en-Y gastric bypass. Obes Surg. 2002;12:34–8.PubMedCrossRef
83.
go back to reference Shaffer D, Benotti PN, Bothe A Jr, et al. A prospective, randomized trial of abdominal wound drainage in gastric bypass surgery. Ann Surg. 1987;206:134–7.PubMedCrossRef Shaffer D, Benotti PN, Bothe A Jr, et al. A prospective, randomized trial of abdominal wound drainage in gastric bypass surgery. Ann Surg. 1987;206:134–7.PubMedCrossRef
84.
go back to reference Salgado W Jr, Cunha Fde Q, dos Santos JS, et al. Routine abdominal drains after Roux-en-Y gastric bypass: a prospective evaluation of the inflammatory response. Surg Obes Relat Dis. 2010;6:648–52.PubMedCrossRef Salgado W Jr, Cunha Fde Q, dos Santos JS, et al. Routine abdominal drains after Roux-en-Y gastric bypass: a prospective evaluation of the inflammatory response. Surg Obes Relat Dis. 2010;6:648–52.PubMedCrossRef
86.
go back to reference Huerta S, Arteaga JR, Sawicki MP, et al. Assessment of routine elimination of postoperative nasogastric decompression after Roux-en-Y gastric bypass. Surgery. 2002;132:844–8.PubMedCrossRef Huerta S, Arteaga JR, Sawicki MP, et al. Assessment of routine elimination of postoperative nasogastric decompression after Roux-en-Y gastric bypass. Surgery. 2002;132:844–8.PubMedCrossRef
87.
go back to reference Doglietto GB, Papa V, Tortorelli AP, et al. Nasojejunal tube placement after total gastrectomy: a multicenter prospective randomized trial. Arch Surg. 2004;139:1309–13.PubMedCrossRef Doglietto GB, Papa V, Tortorelli AP, et al. Nasojejunal tube placement after total gastrectomy: a multicenter prospective randomized trial. Arch Surg. 2004;139:1309–13.PubMedCrossRef
88.
go back to reference Carrère N, Seulin P, Julio C, et al. Is nasogastric or nasojejunal decompression necessary after gastrectomy? A prospective randomized trial. World J Surg. 2007;31:122–7.PubMedCrossRef Carrère N, Seulin P, Julio C, et al. Is nasogastric or nasojejunal decompression necessary after gastrectomy? A prospective randomized trial. World J Surg. 2007;31:122–7.PubMedCrossRef
89.
go back to reference Schug SA, Raymann A. Postoperative pain management of the obese patient. Best Pract Res Clin Anaesthesiol. 2011;25:73–81.PubMedCrossRef Schug SA, Raymann A. Postoperative pain management of the obese patient. Best Pract Res Clin Anaesthesiol. 2011;25:73–81.PubMedCrossRef
90.
go back to reference Kahokehr A, Sammour T, Srinivasa S, et al. Systematic review and meta-analysis of intraperitoneal local anaesthetic for pain reduction after laparoscopic gastric procedures. Br J Surg. 2011;98:29–36.PubMedCrossRef Kahokehr A, Sammour T, Srinivasa S, et al. Systematic review and meta-analysis of intraperitoneal local anaesthetic for pain reduction after laparoscopic gastric procedures. Br J Surg. 2011;98:29–36.PubMedCrossRef
91.
go back to reference Alkhamesi N, Kane J, Guske P, et al. Intraperitoneal aerosolization of bupivacaine is a safe and effective method in controlling postoperative pain in laparoscopic Roux-en-Y gastric bypass. J Pain Res. 2008;1:9–13.PubMedCrossRef Alkhamesi N, Kane J, Guske P, et al. Intraperitoneal aerosolization of bupivacaine is a safe and effective method in controlling postoperative pain in laparoscopic Roux-en-Y gastric bypass. J Pain Res. 2008;1:9–13.PubMedCrossRef
92.
go back to reference Sherwinter D, Ghaznavi A, Spinner D, et al. Continuous infusion of intraperitoneal bupivacaine after laparoscopic surgery: a randomized controlled trial. Obes Surg. 2008;18:1581–6.PubMedCrossRef Sherwinter D, Ghaznavi A, Spinner D, et al. Continuous infusion of intraperitoneal bupivacaine after laparoscopic surgery: a randomized controlled trial. Obes Surg. 2008;18:1581–6.PubMedCrossRef
93.
go back to reference Cunniffe M, McAnena O, Dar M, et al. A prospective randomized trial of intraoperative bupivacaine irrigation for management of shoulder-tip pain following laparoscopy. Am J Surg. 1998;176:258–61.PubMedCrossRef Cunniffe M, McAnena O, Dar M, et al. A prospective randomized trial of intraoperative bupivacaine irrigation for management of shoulder-tip pain following laparoscopy. Am J Surg. 1998;176:258–61.PubMedCrossRef
94.
go back to reference Palmes D, Rottgermann S, Classen C, et al. Randomized clinical trial of the influence of intraperitoneal local anaesthesia on pain after laparoscopic surgery. Br J Surg. 2007;94:824–32.PubMedCrossRef Palmes D, Rottgermann S, Classen C, et al. Randomized clinical trial of the influence of intraperitoneal local anaesthesia on pain after laparoscopic surgery. Br J Surg. 2007;94:824–32.PubMedCrossRef
95.
go back to reference Schumann R, Jones SB, Cooper B, et al. Update on best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery, 2004–2007. Obesity. 2009;17:889–94.PubMedCrossRef Schumann R, Jones SB, Cooper B, et al. Update on best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery, 2004–2007. Obesity. 2009;17:889–94.PubMedCrossRef
96.
go back to reference Cottam DR, Fisher B, Atkinson J, et al. A randomized trial of bupivicaine pain pumps to eliminate the need for patient controlled analgesia pumps in primary laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17:595–600.PubMedCrossRef Cottam DR, Fisher B, Atkinson J, et al. A randomized trial of bupivicaine pain pumps to eliminate the need for patient controlled analgesia pumps in primary laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17:595–600.PubMedCrossRef
97.
98.
go back to reference von Ungern-Sternberg BS, Regli A, Reber A, et al. Effect of obesity and thoracic epidural analgesia on perioperative spirometry. Br J Anaesth. 2005;94:121–7.CrossRef von Ungern-Sternberg BS, Regli A, Reber A, et al. Effect of obesity and thoracic epidural analgesia on perioperative spirometry. Br J Anaesth. 2005;94:121–7.CrossRef
99.
go back to reference Yamagishi T, Ishikawa S, Ohtaki A, et al. Obesity and postoperative oxygenation after coronary artery bypass grafting. Jpn J Thor Cardiovasc Surg. 2000;48:632–6.CrossRef Yamagishi T, Ishikawa S, Ohtaki A, et al. Obesity and postoperative oxygenation after coronary artery bypass grafting. Jpn J Thor Cardiovasc Surg. 2000;48:632–6.CrossRef
100.
go back to reference Greif R, Akca O, Horn EP, et al. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. N Engl J Med. 2000;342:161–7.PubMedCrossRef Greif R, Akca O, Horn EP, et al. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. N Engl J Med. 2000;342:161–7.PubMedCrossRef
101.
go back to reference Mayzler O, Weksler N, Domchik S, et al. Does supplemental perioperative oxygen administration reduce the incidence of wound infection in elective colorectal surgery? Minerva Anestesiol. 2005;71:21–5.PubMed Mayzler O, Weksler N, Domchik S, et al. Does supplemental perioperative oxygen administration reduce the incidence of wound infection in elective colorectal surgery? Minerva Anestesiol. 2005;71:21–5.PubMed
102.
go back to reference Kabon B, Rozum R, Marschalek C, et al. Supplemental postoperative oxygen and tissue oxygen tension in morbidly obese patients. Obes Surg. 2010;20:885–94.PubMedCrossRef Kabon B, Rozum R, Marschalek C, et al. Supplemental postoperative oxygen and tissue oxygen tension in morbidly obese patients. Obes Surg. 2010;20:885–94.PubMedCrossRef
103.
go back to reference Weimann A, Braga M, Harsanyi L, et al. ESPEN guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr. 2006;25:224–44.PubMedCrossRef Weimann A, Braga M, Harsanyi L, et al. ESPEN guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr. 2006;25:224–44.PubMedCrossRef
104.
go back to reference McGlinch BP, Que FG, Nelson JL, et al. Perioperative care of patients undergoing bariatric surgery. Mayo Clin Proc. 2006;81:S25–33.PubMed McGlinch BP, Que FG, Nelson JL, et al. Perioperative care of patients undergoing bariatric surgery. Mayo Clin Proc. 2006;81:S25–33.PubMed
105.
go back to reference Saravanakumar K, Rao SG, Cooper GM. Obesity and obstetric anaesthesia. Anaesth. 2006;61:36–48.CrossRef Saravanakumar K, Rao SG, Cooper GM. Obesity and obstetric anaesthesia. Anaesth. 2006;61:36–48.CrossRef
106.
go back to reference Dobesh PP, Wittkowsky AK, Stacy Z, et al. Key articles and guidelines for the prevention of venous thromboembolism. Pharmac. 2009;29:410–58.CrossRef Dobesh PP, Wittkowsky AK, Stacy Z, et al. Key articles and guidelines for the prevention of venous thromboembolism. Pharmac. 2009;29:410–58.CrossRef
107.
go back to reference Clements RH, Yellumahanthi K, Ballem N, et al. Pharmacologic prophylaxis against venous thromboembolic complications is not mandatory for all laparoscopic Roux-en-Y gastric bypass procedures. J Am Coll Surg. 2009;208:917–21.PubMedCrossRef Clements RH, Yellumahanthi K, Ballem N, et al. Pharmacologic prophylaxis against venous thromboembolic complications is not mandatory for all laparoscopic Roux-en-Y gastric bypass procedures. J Am Coll Surg. 2009;208:917–21.PubMedCrossRef
108.
go back to reference Kaffarnik M, Utzolino S. Postoperative management of patients with BMI > 40 kg/m2. Zentralbl Chir. 2009;134:43–9.PubMedCrossRef Kaffarnik M, Utzolino S. Postoperative management of patients with BMI > 40 kg/m2. Zentralbl Chir. 2009;134:43–9.PubMedCrossRef
109.
go back to reference Wu E, Barba C. Current practices in the prophylaxis of venous thromboembolism in bariatric surgery. Obes Surg. 2000;10:7–13.PubMedCrossRef Wu E, Barba C. Current practices in the prophylaxis of venous thromboembolism in bariatric surgery. Obes Surg. 2000;10:7–13.PubMedCrossRef
110.
go back to reference Hamad GG, Choban PS. Enoxaparin for thromboprophylaxis in morbidly obese patients undergoing bariatric surgery: findings of the prophylaxis against VTE outcomes in bariatric surgery patients receiving enoxaparin (PROBE) study. Obes Surg. 2005;15:1368–74.PubMedCrossRef Hamad GG, Choban PS. Enoxaparin for thromboprophylaxis in morbidly obese patients undergoing bariatric surgery: findings of the prophylaxis against VTE outcomes in bariatric surgery patients receiving enoxaparin (PROBE) study. Obes Surg. 2005;15:1368–74.PubMedCrossRef
111.
go back to reference Overby DW, Kohn GP, Cahan MA, et al. Risk-group targeted inferior vena cava filter placement in gastric bypass patients. Obes Surg. 2009;19:451–5.PubMedCrossRef Overby DW, Kohn GP, Cahan MA, et al. Risk-group targeted inferior vena cava filter placement in gastric bypass patients. Obes Surg. 2009;19:451–5.PubMedCrossRef
112.
go back to reference Magee CJ, Barry J, Javed S, et al. Extended thromboprophylaxis reduces incidence of postoperative venous thromboembolism in laparoscopic bariatric surgery. Surg Obes Relat Dis. 2010;6:322–5.PubMedCrossRef Magee CJ, Barry J, Javed S, et al. Extended thromboprophylaxis reduces incidence of postoperative venous thromboembolism in laparoscopic bariatric surgery. Surg Obes Relat Dis. 2010;6:322–5.PubMedCrossRef
113.
go back to reference Birkmeyer NJ, Share D, Baser O, et al. Preoperative placement of inferior vena cava filters and outcomes after gastric bypass surgery. Ann Surg. 2010;252:313–8.PubMedCrossRef Birkmeyer NJ, Share D, Baser O, et al. Preoperative placement of inferior vena cava filters and outcomes after gastric bypass surgery. Ann Surg. 2010;252:313–8.PubMedCrossRef
Metadata
Title
Optimizing Perioperative Care in Bariatric Surgery Patients
Authors
Daniel P. Lemanu
Sanket Srinivasa
Primal P. Singh
Sharon Johannsen
Andrew D. MacCormick
Andrew G. Hill
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 6/2012
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-012-0648-6

Other articles of this Issue 6/2012

Obesity Surgery 6/2012 Go to the issue