Is there a role for enhanced recovery after laparoscopic bariatric surgery?
Barreca M, Renzi C, Tankel J, Shalhoub J, Sengupta N. Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center. Surg Obes Relat Dis. 2016 Jan;12(1):119-26.
What is already known:
The ERAS society has recently published guidelines for bariatric surgery (link) however there is limited research in this field.
What this paper adds:
This is a UK review of prospectively collected data from a single specialist centre (288 patients). They showed that an ERAS program was feasible and safe for this group of patients. They demonstrated a significant increase in patients being discharged on postoperative day one after undergoing laparoscopic roux-en-Y bypass (from 1.6% to almost 40%), with no increase in readmission rates. Interestingly neither ASA score or comorbidity had an influence on whether a patient would be discharged on the first post-operative day, (OR:50.95;95%CI:6.55–396.12; P 0.001).
Chris Jones, Guildford.