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Obesity Surgery
Published in: Obesity Surgery 12/2020

01-12-2020 | Sleeve Gastrectomy | Review

Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery

Authors: Amilcare Parisi, Jacopo Desiderio, Roberto Cirocchi, Stefano Trastulli

Published in: Obesity Surgery | Issue 12/2020

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Abstract

Objective

Our aim was to conduct an up-to-date systematic review of randomised controlled trials (RCTs) to determine the benefits and harms of enhanced recovery after surgery (ERAS) programme in bariatric surgery.

Methods

MEDLINE, Embase, PubMed, CINAHL and the Cochrane Library were searched for RCTs on ERAS versus standard care (SC) until April 2020. The primary endpoint was the length of hospital stay (LOS).

Results

Five RCTs included a total of 610 procedures. ERAS adoption is capable of significantly reducing LOS (MD of − 0.51; 95% CI − 0.92 to − 0.10; P = 0.01) and postoperative nausea and vomiting (PONV) (OR 0.42; 95% CI 0.19 to 0.95; P = 0.04). No significant differences in terms of adverse events and readmissions.

Conclusions

The implementation of ERAS in bariatric surgery produces a significant reduction in LOS and PONV.
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Metadata
Title
Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery
Authors
Amilcare Parisi
Jacopo Desiderio
Roberto Cirocchi
Stefano Trastulli
Publication date
01-12-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-05000-6

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