Experience with an Enhanced Recovery After Surgery (ERAS) Program for Bariatric Surgery: Comparison of MGB and LSG in 374 Patients

被引：40
作者：
Blanchet, Marie-Cecile [1 ,2 ]
Gignoux, Benoit [1 ]
Matussiere, Yann [1 ,3 ]
Vulliez, Alexandre [1 ,4 ]
Lanz, Thomas [1 ,4 ]
Monier, Fabienne [1 ,4 ]
Frering, Vincent [1 ]
机构：
[1] Clin Sauvegarde, Lyon, France
[2] Immeuble Trait Union, Espace Med Chirurg, Entrre A29 Av Sources, F-69009 Lyon, France
[3] Clin Sauvegarde, Dept Nutr, 29 Ave Sources, F-69009 Lyon, France
[4] Clin Sauvegarde, Dept Anesthesiol, 29 Ave Sources, F-69009 Lyon, France
来源：
OBESITY SURGERY | 2017年 / 27卷 / 07期
关键词：
Bariatric surgery; Laparoscopic; Enhanced recovery; ERAS; MGB; LSG; SLEEVE GASTRECTOMY; METAANALYSIS; PROTOCOL; OBESITY; TRIAL; CARE;
D O I：
10.1007/s11695-017-2694-6
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We prospectively investigated the effectiveness and safety of an ERAS protocol with laparoscopic omega loop gastric bypass ("mini" gastric bypass, MGB) and LSG in morbidly obese patients. Average LOS was 1.24 days (range 1-14); 86.1% discharged on day 1; 96.9% by day 2, a value comparable or better than that of other ERAS studies vs standard care according to meta-analysis. Complications 2.9%; readmission 2.1%; reintervention 1.3%. The program was equally safe with both procedures. Postoperative antithrombotic heparin does not appear necessary in low-risk patients. Bariatric surgical ERAS programs are evolving and not yet standardized.
引用
收藏
页码：1896 / 1900
页数：5
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