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Optimizing Perioperative Care in Bariatric Surgery Patients

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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.

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Conflict of Interest

All authors are involved in running a multidisciplinary course detailing surgical, nursing and anaesthetic perspectives on running an ERAS program for patients undergoing elective surgery at our institution. Details of the course can be found at webstarts.com/aerascourse. Funding for this course is obtained from Covidien, Surgical Synergies and Pharmaco. The course is strictly not for profit.

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  1. Department of Surgery, South Auckland Clinical School, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, New Zealand

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

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  1. Daniel P. Lemanu
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  2. Sanket Srinivasa
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Correspondence to Daniel P. Lemanu.

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Lemanu, D.P., Srinivasa, S., Singh, P.P. et al. Optimizing Perioperative Care in Bariatric Surgery Patients. OBES SURG 22, 979–990 (2012). https://doi.org/10.1007/s11695-012-0648-6

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