Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

Erik Stenberg, Luiz Fernando dos Reis Falcão, Mary O’Kane, Ronald Liem, Dimitri J. Pournaras, Paulina Salminen, Richard D. Urman, Anupama Wadhwa, Ulf O. Gustafsson, Anders Thorell

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations

Abstract

Background: This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods: A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations. Results: The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence-based practices may need to be extrapolated from other surgeries. Conclusion: A comprehensive, updated evidence-based consensus was reached and is presented in this review by the ERAS® Society.

Original languageEnglish (US)
Pages (from-to)729-751
Number of pages23
JournalWorld Journal of Surgery
Volume46
Issue number4
DOIs
StatePublished - Apr 2022
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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