دورية أكاديمية
Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center
| العنوان: | Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center |
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| المؤلفون: | Barreca, M, Renzi, C, Tankel, J, Shalhoub, J, Sengupta, N |
| المصدر: | 126 ; 119 |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2015 |
| المجموعة: | Imperial College London: Spiral |
| مصطلحات موضوعية: | Science & Technology, Life Sciences & Biomedicine, Surgery, Enhanced recovery after surgery (ERAS), Laparoscopic Roux-en-Y gastric bypass (LRYGB), Laparoscopic sleeve gastrectomy (LSG), Length of stay (LOS), RANDOMIZED CONTROLLED-TRIALS, INTENSIVE MEDICAL THERAPY, GASTRIC BYPASS, PERIOPERATIVE CARE, COLORECTAL SURGERY, OUTCOMES, METAANALYSIS, Adult, Aged, Bariatric Surgery, Female, Follow-Up Studies, Hospitals, Teaching, Humans, Laparoscopy, Length of Stay, Male, Middle Aged, Obesity, Morbid, Postoperative Period, Recovery of Function |
| الوصف: | BACKGROUND: There has been a relative lack of research on the effect of enhanced recovery in the context of morbid obesity surgery. OBJECTIVES: To determine if the application of enhanced recovery after surgery (ERAS) principles can contribute to reduce postoperative hospital length of stay after bariatric surgery, controlling for other factors that may influence safe discharge on the first postoperative day. SETTING: University teaching hospital, United Kingdom. METHODS: Between February 2011 and December 2014, prospectively collected data on all patients undergoing laparoscopic bariatric surgery under the care of a single surgeon were reviewed. From January 2012, all patients were enrolled in an ERAS protocol and were assessed for fitness for early discharge (within 24 hr from the operation). Baseline patient characteristics and additional concomitant procedures data were compared for patients treated before and after implementation of the ERAS protocol; 30-day readmission data were analyzed for patients discharged on the first postoperative day and those discharged later. The effect of the implementation of the ERAS protocol on discharge on the first postoperative day was analyzed using multivariate analysis, while taking into account the effects of potential confounders (e.g., age, gender, American Society of Anesthesiologists [ASA] grade, concomitant surgical procedures, etc.). RESULTS: Two-hundred and eighty-eight consecutive patients underwent bariatric surgery. Of these, 278 (96.5%) were potentially suitable for early discharge, while 10 (3.5%) patients developed an acute postoperative complication that delayed discharge irrespective of the effect of ERAS. All these patients required a reoperation within 48 hours and therefore were not considered suitable for early discharge and were not included in the statistical analysis. During the entire study period, 100 of 278 (36%) patients were discharged on the first postoperative day, 28.5% after laparoscopic Roux-en-Y gastric bypass (LRYGB) and 60.9% after ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1878-7533 |
| العلاقة: | Surgery for Obesity and Related Diseases; http://hdl.handle.net/10044/1/56546Test; https://dx.doi.org/10.1016/j.soard.2015.03.008Test |
| DOI: | 10.1016/j.soard.2015.03.008 |
| الإتاحة: | https://doi.org/10.1016/j.soard.2015.03.008Test http://hdl.handle.net/10044/1/56546Test |
| حقوق: | © 2015, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0Test/ |
| رقم الانضمام: | edsbas.7FDF3400 |
| قاعدة البيانات: | BASE |
| تدمد: | 18787533 |
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| DOI: | 10.1016/j.soard.2015.03.008 |