Abstract
Over the past two decades in particular, bariatric (or metabolic) surgery has increased in terms of its volume. Indeed, almost 180,000 cases were performed in the United States alone in 2013, comprised mostly of gastric banding (14 %), Roux-en-Y gastric bypass (34 %), and sleeve gastrectomy (42 %). This is not only a testament to the great demand of this type of surgery, in terms of patients who suffer from comorbidities such as type II diabetes, sleep apnea, hypertension, and polycystic ovarian disease, but also to the fact that the surgery is considered a safe and viable option. Over the past 10 years, technical modifications such as changes to the anastomotic technique, and timing of thrombotic prophylaxis have led to the development of a safer laparoscopic technique. Numerous prospective reports confirm extremely low rates of morbidity and mortality.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
http://asmbs.org/resources/estimate-of-bariatric-surgery-numbers. Accessed 21 Jan 2015.
McGrath V, Needleman BJ, Melvin WS. Evolution of the laparoscopic gastric bypass. J Laparoendosc Adv Surg Tech A. 2003;13:221–7.
DeMaria EJ, Pate V, Warthen M, Winegar DA. Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2010;6(4):347–55.
Longitudinal Assessment of Bariatric Surgery (LABS) Consortium, Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W, Pories W, Courcoulas A, McCloskey C, Mitchell J, Patterson E, Pomp A, Staten MA, Yanovski SZ, Thirlby R, Wolfe B. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361(5):445–54.
Kehlet H. Multimodal approach to postoperative recovery. Curr Opin Crit Care. 2009;15(4):355–8.
Cooney RN, Bryant P, Haluck R, Rodgers M, Lowery M. The impact of a clinical pathway for gastric bypass surgery on resource utilization. J Surg Res. 2001;98(2):97–101.
McCarty TM, Arnold DT, Lamont JP, Fisher TL, Kuhn JA. Optimizing outcomes in bariatric surgery: outpatient laparoscopic gastric bypass. Ann Surg. 2005;242(4):494–8. discussion 498–501.
Lemanu DP, Singh PP, Berridge K, Burr M, Birch C, Babor R, MacCormick AD, Arroll B, Hill AG. Randomized clinical trial of enhanced recovery versus standard care after laparoscopic sleeve gastrectomy. Br J Surg. 2013;100(4):482–9.
Lemanu DP, Srinivasa S, Singh PP, Johannsen S, Maccormick AD, Hill AG. Optimizing perioperative care in bariatric surgery patients. Obes Surg. 2012;22:979–90.
Findlay JM, Gillies RS, Millo J, Sgromo B, Marshall RE, Maynard ND. Enhanced recovery for esophagectomy: a systematic review and evidence-based guidelines. Ann Surg. 2014;259(3):413–31.
Aggarwal R. Better care in the operating room. World J Surg. 2014;38(12):3053–5.
Pucher PH, Aggarwal R, Qurashi M, Singh P, Darzi A. Randomized clinical trial of the impact of surgical ward-care checklists on postoperative care in a simulated environment. Br J Surg. 2014;101(13):1666–73.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Aggarwal, R. (2015). Setting Up an Enhanced Recovery Program Pathway for Bariatric Surgery: Current Evidence into Practice. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_24
Download citation
DOI: https://doi.org/10.1007/978-3-319-20364-5_24
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-20363-8
Online ISBN: 978-3-319-20364-5
eBook Packages: MedicineMedicine (R0)