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Enhanced Recovery in Bariatric Surgery

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Abstract

Enhanced recovery is a concept that has been embraced by some surgical specialties with resultant improvements in complication rates, readmissions, length of stay, and costs. While bariatric surgery is typically a pathway-driven specialty, there is a large amount of variability regarding perioperative care practices among bariatric surgery programs nationally. Enhanced recovery offers the possibility of decreasing this variability across practice settings by implementing evidence-based protocols that minimize surgical stress, maintain homeostasis, and minimize opioid use in all bariatric surgery programs. Protocols such as this also challenge surgical dogma and practices that are not supported by evidence such as “NPO after midnight,” the use of bowel preps, the use of drains and catheters, and routine imaging studies or prolonged periods without oral intake after surgery. Evidence is emerging to support the safety and effectiveness of specific components of enhanced recovery for this unique population, and, as implementation increases, the field of bariatric surgery will continue to be the leader in quality and patient safety among all surgical specialties.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA

    Xiaoxi (Chelsea) Feng

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

Authors
  1. Xiaoxi (Chelsea) Feng
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  2. Stacy A. Brethauer
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Corresponding author

Correspondence to Xiaoxi (Chelsea) Feng .

Editor information

Editors and Affiliations

  1. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

  4. Bariatric Surgery, Metabolic and Bariatric Care, CHI Memorial Hospital, Chattanooga, TN, USA

    Jaime Ponce

  5. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

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Feng, X.(., Brethauer, S.A. (2020). Enhanced Recovery in Bariatric Surgery. In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_43

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  • DOI: https://doi.org/10.1007/978-3-030-27021-6_43

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