Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery.

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 Surg

journal_title

Obesity surgery

authors

Parisi A,Desiderio J,Cirocchi R,Trastulli S

doi

10.1007/s11695-020-05000-6

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

5071-5085

issue

12

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-020-05000-6

journal_volume

30

pub_type

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