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Erschienen in: Obesity Surgery 12/2020

26.09.2020 | Review

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

verfasst von: Amilcare Parisi, Jacopo Desiderio, Roberto Cirocchi, Stefano Trastulli

Erschienen in: Obesity Surgery | Ausgabe 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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Metadaten
Titel
Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery
verfasst von
Amilcare Parisi
Jacopo Desiderio
Roberto Cirocchi
Stefano Trastulli
Publikationsdatum
26.09.2020
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 12/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-05000-6

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