Abstract:
OBJECTIVE:Our aim was to conduct an up-to-date systematic review of randomised controlled trials (RCTs) to determine the benefits and harms of enhanced recovery after surgery (ERAS) programme in bariatric surgery. METHODS:MEDLINE, Embase, PubMed, CINAHL and the Cochrane Library were searched for RCTs on ERAS versus standard care (SC) until April 2020. The primary endpoint was the length of hospital stay (LOS). RESULTS:Five RCTs included a total of 610 procedures. ERAS adoption is capable of significantly reducing LOS (MD of - 0.51; 95% CI - 0.92 to - 0.10; P = 0.01) and postoperative nausea and vomiting (PONV) (OR 0.42; 95% CI 0.19 to 0.95; P = 0.04). No significant differences in terms of adverse events and readmissions. CONCLUSIONS:The implementation of ERAS in bariatric surgery produces a significant reduction in LOS and PONV.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Parisi A,Desiderio J,Cirocchi R,Trastulli Sdoi
10.1007/s11695-020-05000-6subject
Has Abstractpub_date
2020-12-01 00:00:00pages
5071-5085issue
12eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-05000-6journal_volume
30pub_type
杂志文章,评审相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND AND AIMS:Bariatric surgery, such as vertical sleeve gastrectomy (VSG), is the most effective long-term treatment for obesity. However, there are conflicting reports on the effect of bariatric surgery on inflammatory bowel disease (IBD). Bariatric surgery increases bile acid concentrations, which can decrease...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03707-9
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:The effect of bariatric surgery on thyroid hormone changes yielded inconsistent results. The aim of the present study was to assess the change of thyroid hormone levels following laparoscopic sleeve gastrectomy (LSG), with or without antral preservation (AP). METHODS:Thyroid hormones (TSH, FT3, FT4) were ex...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04896-4
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Long-term outcomes of gastric banding regarding depression and predictors of change in depression are still unclear. This prospective, controlled study investigated depression and self-acceptance in morbidly obese patients before and after gastric banding. METHODS:A total of 248 morbidly obese patients (mea...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9316-7
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been introduced as a multipurpose restrictive procedure for obese patients. Variations of the surgical technique may be important for the late results. METHODS:50 patients submitted to LSG from January 2005 to December 2006 were studied. Mean age was 38.2 years, pre...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9421-2
更新日期:2007-11-01 00:00:00
abstract::In this case report, we present an 18-year-old morbidly obese male with complicating hypertensive cardiomyopathy who underwent laparoscopic adjustable gastric band surgery. The patient had multiple comorbidities associated with his obesity, including obstructive sleep apnea, systemic hypertension, asthma, and depressi...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9330-9
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Susceptibility to obesity is associated with a notable inter-individual variation. The aim of the present study was to compare the effectiveness of sleeve gastrectomy (SG) on weight loss and metabolic profile in obesity-prone (OP) rats vs animals that are non-susceptible to obesity (NSO). METHODS:Young male...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1915-0
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Despite their current limitations, metabolic surgery and natural orifice transluminal endoscopic surgery (NOTES), set new horizons. In this article, the first three cases of adjustable gastric banding (AGB) through transvaginal access in obese women are described. METHODS:In the General and Vascular Surgery...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0130-2
更新日期:2011-04-01 00:00:00
abstract::The relationship between bariatric surgery and gastric cancer is conjectural. We present a 52-year-old woman with BMI 45 operated initially by a Lap-Band procedure complicated by gastric wall erosion of the band 9 months later. She was re-operated and the band was removed. She subsequently underwent a Roux-en-Y gastri...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892055002383
更新日期:2005-09-01 00:00:00
abstract::A triple-lumen Moss(c) gastrostomy tube was advanced into the proximal duodenum as an adjunct to the postoperative management of patients who underwent vertical banded gastroplasty (VBG) for the treatment of morbid obesity. The tube efficiently aspirated the proximal duodenum and stomach to prevent postoperative ileus...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089291765561556
更新日期:1991-03-01 00:00:00
abstract::There is no consensus on how to protect the skeleton with adequate supplements in patients who have undergone bariatric operations. The main problem in mineral metabolism is usually related to secondary hyperparathyroidism (2 degrees HPT), often caused by a lack of dietary calcium, magnesium or vitamin D, together wit...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-008-9431-0
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:In bariatric surgery patients, weight loss and long-term weight maintenance are related to food intake and eating patterns. To improve the diet orientation in the bariatric surgery postoperative period, we assessed the postoperative eating patterns and related them to weight loss. METHODS:This was a transve...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9704-7
更新日期:2009-09-01 00:00:00
abstract::With the increase in bariatric procedures performed, revisional surgery is now required more frequently. Roux-en-Y gastric bypass (RYGB) is considered to be the gold standard revision procedure. However, data comparing revisional vs. primary RYGB is scarce, and no study has compared non-resectional primary and revisio...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0214-z
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Excess dietary fat has been implicated in the etiology of obesity. METHODS:This study examined the fat intake of three weight groups, normal (20.0 < or = BMI < or = 27.0), moderately obese (27.1 < or = BMI < or = 39.9) and severely obese (BMI > or = 40.0). Each group contained 50 subjects. Detailed 3-day fo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089297765556150
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND AND AIMS:To assess safety of the Exilis™ gastric electrical stimulation (GES) system and to investigate whether the settings can be adjusted for comfortable chronic use in subjects with morbid obesity. Gastric emptying and motility and meal intake were evaluated. METHOD:In a multicenter, phase 1, open prosp...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04422-6
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Considering conflicting results on the consequences of all types of obesity surgery, we were to summarize them via a systematic review. METHODS:Electronic literature search was done via scientific search engines. After the removal of duplicates and selection of articles of interest, 771 studies were include...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-018-3550-z
更新日期:2019-02-01 00:00:00
abstract::Obesity is linked to the development of cancer. Previous studies have suggested that there is a relationship between bariatric surgery and reduced cancer risk. Data sources were from Medline, Embase, and Cochrane Library. From 951 references, 13 studies met the inclusion criteria (54,257 participants). In controlled s...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-014-1276-0
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:The effects of pneumoperitoneum (PPM) on respiratory mechanics during bariatric surgery were investigated. PATIENTS AND METHODS:10 patients with BMI 50.5+/-8 kg/m(2) (range 40.9- 66.8) who underwent laparoscopic adjustable gastric banding with the Swedish band under general anesthesia were studied. Besides ...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1381/096089204322857582
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND:Proximal Roux-en-Y gastric bypass is commonly used to manage obesity, performed using laparoscopic or robot-assisted minimally invasive surgery. As the prevalence of robotic bariatric surgery increases, further data is required to justify its use. METHODS:This was a large, retrospective analysis of prospect...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04508-1
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Retrospective studies investigating fast track care involve selected patients. This study evaluates the implementation of fast track care in unselected bariatric patients in a high volume teaching hospital in the Netherlands. METHODS:Consecutive patients who underwent a primary laparoscopic gastric bypass i...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1133-6
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Sleeve gastrectomy (SG) is a safe and efficient procedure with comparable results between conventional and single-incision approach in selected patients. However, the critical point in both approaches is the retraction of the hypertrophic and fatty left lobe of the liver which increases technical difficultie...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-2035-6
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Severely obese type 2 diabetics who undergo Roux-en Y gastric bypass surgery have significant improvements in glycaemic control. Little work has been undertaken to establish the independent predictors of such resolution or to develop a predictive model. The aim of this study was to develop a mathematical mod...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0370-9
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Obesity surgery mortality risk scoring system (OS-MRS) classifies patients into high, intermediate and low risk, based on age, body mass index, sex and other comorbidities such as hypertension and history of pulmonary embolism. High-risk patients not only have a higher mortality but are more likely to develo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3322-9
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Criteria for bariatric weight loss success are numerous. Most of them are arbitrary. None of them is evidence-based. Our objective was to determine their sensitivity and specificity. METHODS:Thirteen common bariatric weight loss criteria were compared to a benchmark reflecting the gold standard in bariatric...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3173-4
更新日期:2018-08-01 00:00:00
abstract::BACKGROUND: Most people do not realize how prejudicially damaging they behave, particularly towards the obese. Their discrimination has been deemed, unconsciously perhaps, as acceptable by society. METHODS: This paper describes a high school senior's exploration of prejudice and discrimination towards the obese. RESUL...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089296765556520
更新日期:1996-10-01 00:00:00
abstract::Adolescents seeking bariatric surgery may present with pre-existing psychiatric diagnoses for which they use chronic medications. To heighten awareness concerning perioperative polypharmacy in adolescents with extreme obesity, we conducted a retrospective review of patients undergoing laparoscopic sleeve gastrectomy b...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04456-w
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND AND AIMS:Different bariatric procedures have been associated with variable weight loss and decrease in serum levels of lipids and lipoproteins. This variation could be partly related to the length of the small intestinal bypass. We evaluated the association of the small intestinal length with the non-alcohol...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3447-x
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The objective of the present study was to investigate vitamin A nutritional status in individuals with class III obesity through a biochemical indicator (retinol and beta-carotene serum levels), correlating these findings with non-alcoholic fatty liver disease (NAFLD) presence and its risk factors. METHODS:...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9361-2
更新日期:2008-04-01 00:00:00
abstract::Ulcer disease in excluded segments after Roux-Y gastric bypass (RYGB) is rare but can evolve into a life-threatening situation. The excluded segments exhibit a different behavior from that of non-altered anatomy; perforated ulcers do not result in pneumoperitoneum or free fluid, and therefore must be met with a low th...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-020-05123-w
更新日期:2020-11-24 00:00:00
abstract:BACKGROUND:The definition of success and failure of a bariatric procedure should include weight loss as well as improvement in comorbidity and quality of life assessment. The Bariatric Analysis and Reporting Outcome System (BAROS), introduced by Oria and Moorhead in 1997, seems to provide a standard for comparison in t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089298765554052
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:Follow-up is critical to the success of laparoscopic adjustable gastric banding (LAGB). Few data guide this and expected norms of satiety, adverse symptoms, and outcomes have not been defined. METHODS:Consecutive patients, who underwent LAGB, were evaluated using a newly developed instrument that assessed s...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0073-7
更新日期:2011-05-01 00:00:00