Applying Enhanced Recovery After Bariatric Surgery (ERABS) Protocol for Morbidly Obese Patients With End-Stage Renal Failure

Applying Enhanced Recovery After Bariatric Surgery (ERABS) Protocol for Morbidly Obese Patients With End-Stage Renal Failure

Proczko M et al. Applying Enhanced Recovery After Bariatric Surgery (ERABS) Protocol for Morbidly Obese Patients With End-Stage Renal Failure. Obes Surg. 2019 Apr;29(4):1142-1147

What is already known:

ERAS protocols have been safely implemented in bariatric patients. Obesity is a known risk factor for the development of end stage renal disease (ESRD). No current studies have looked at the safety of ERAS protocols in patients requiring bariatric surgery as a bridge to organ transplantation in patients with ESRD.

What this paper adds:

This single centre retrospective study looked at propensity matched patients with ESRD undergoing bariatric surgery as a bridge to renal transplantation. This resulted in two groups of 19 patients. There were no significant differences in minor or major complications up to 30 days postoperatively. Only one patient in the ESRD group needed a re-operation due to an anastomotic leak. Length of stay was on average 1.8 days longer in the ESRD group due to the need for dialysis postoperatively. This small study confirms that Bariatric ERAS protocols are safe in patients with ESRD with no changes needed to the ERAS protocols.

Katie Wimble, Guildford