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Erschienen in: Obesity Surgery 4/2020

01.04.2020 | Original Contributions

Impact of Adherence to the ERAS® Protocol on Short-term Outcomes after Bariatric Surgery

verfasst von: Piotr Małczak, Michał Wysocki, Hanna Twardowska, Alicja Dudek, Justyna Tabiś, Piotr Major, Magdalena Pisarska, Michał Pędziwiatr

Erschienen in: Obesity Surgery | Ausgabe 4/2020

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Abstract

Introduction

Enhanced recovery after surgery had been introduced with success in many surgical fields, including bariatrics. There are numerous studies presenting how ERAS® has positively affected the outcomes following weight loss surgery. The effect of compliance with the protocol on postoperative results has not been extensively researched in the literature.

Methodology

The 15-element protocol used in our department was analyzed, and compliance was calculated based on pre- and peri-operative elements. We gathered data on recovery parameters, complications, and length of hospital stay. Patients were divided into two groups according to their compliance: group 1 < 80%, group 2 > 80%. Multivariate analysis was used to determine which element had the greatest effect.

Results

Our study group consisted of 764 patients operated in between 2009 and 2017. The median compliance was 87.94%; group 1 had 68.1% compliance and group 2 reached 92.7%. There were significant differences in morbidity (group 1 13.6% vs. group 2 2.8%, p < 0.001) and length of hospital stay (4 vs. 3 days, p < 0.001). Compliance, early mobilization, and day of food tolerance have been identified as affecting morbidity, whereas for prolonged hospital stays, it was multimodal analgesia, food tolerance, the volume of oral fluids, and intravenous fluids.

Conclusions

Compliance with the ERAS® protocol affects morbidity and length of hospital stay. More studies are required to establish which elements have the greatest impact and which are essential.
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Metadaten
Titel
Impact of Adherence to the ERAS® Protocol on Short-term Outcomes after Bariatric Surgery
verfasst von
Piotr Małczak
Michał Wysocki
Hanna Twardowska
Alicja Dudek
Justyna Tabiś
Piotr Major
Magdalena Pisarska
Michał Pędziwiatr
Publikationsdatum
01.04.2020
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 4/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04349-7

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