Clinical Effects of Using the Enhanced Recovery after Surgery (ERAS) Approach on Postoperative Bariatric Surgery Status: A Review Study

Keleidari B1, Dehkordi MM1, Shahraki MS1, Heydari M2, Hajian A2 and Mirzaei H1*

1Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2Department of Surgery, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran

^*Correspondance to: Mirzaei H 

 PDF  Full Text DOI: 10.25107/2474-1647.3269

Abstract

Background: Enhanced Recovery after Surgery (ERAS) is an approach to make patient more favorable recovery time after bariatric surgery. There is no comprehensive consensus to apply it worldwide yet. This study reviewed previously performed studies concentrated on ERAS to find if it is appropriate to use globally. Methods: In this narrative review we searched in PubMed/MEDLINE, Google scholar, and PLoS database following keywords as “bariatric surgery” OR “gastric bypass” OR “gastric surgery” AND “ERAS” OR “enhanced recovery” OR “recovery after surgery”. Searching results was considered articles from January 1st, 2000 to December 31st, 2020. Human article including systematic review, review, randomized clinical trial, and meta-analysis that its English full text was available were enrolled. To evaluate efficiency of using the ERAS protocol we analyzed its content including of hospital length of stay, postoperative pain, nausea and/or vomiting, incidence rate of complication, readmission, and reoperation. Results: Finally, from total 106 articles 11 were eligible for study purpose. Total of 4,570 patients’ related data was extracted. Laparoscopic roux-en-y gastric bypass surgery was the most common surgical technique (52%). In almost all studies using hospital length of admission reduced following the ERAS applying. Although some reports advocated using ERAS to lessen postoperative pain and nausea and/or vomiting there was no advantage in case of incidence rate of complication, readmission, or reoperation. Conclusion: Applying the ERAS protocol absolutely decreases hospital length of stay, and partially lowers severity of pain, and nausea and/or vomiting although has no effect on complications after bariatric surgery.

Keywords

Bariatric surgery; ERAS; Obesity; Recovery; Review

Cite the article

Keleidari B, Dehkordi MM, Shahraki MS, Heydari M, Hajian A, Mirzaei H. Clinical Effects of Using the Enhanced Recovery after Surgery (ERAS) Approach on Postoperative Bariatric Surgery Status: A Review Study. Clin Surg. 2021; 6: 3269..