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Experience with an Enhanced Recovery After Surgery (ERAS) Program for Bariatric Surgery: Comparison of MGB and LSG in 374 Patients

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Abstract

Background

Strategic multidisciplinary protocols for “enhanced recovery after surgery” (ERAS) have demonstrated reductions in length of hospital stay (LOS), morbidity, and costs in conjunction with bariatric procedures.

Methods

We prospectively investigated the effectiveness and safety of an ERAS protocol with laparoscopic omega loop gastric bypass (“mini” gastric bypass, MGB) and LSG in morbidly obese patients.

Results

Average LOS was 1.24 days (range 1-14); 86.1% discharged on day 1; 96.9% by day 2, a value comparable or better than that of other ERAS studies vs standard care according to meta-analysis. Complications 2.9%; readmission 2.1%; reintervention 1.3%.

Conclusion

The program was equally safe with both procedures. Postoperative antithrombotic heparin does not appear necessary in low-risk patients. Bariatric surgical ERAS programs are evolving and not yet standardized.

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Acknowledgments

We thank Medwrite Medical Communications, WI, USA, for assistance with manuscript development.

Author information

Authors and Affiliations

  1. Clinique de la Sauvegarde, Lyon, France

    Marie-Cécile Blanchet, Benoît Gignoux, Yann Matussière, Alexandre Vulliez, Thomas Lanz, Fabienne Monier & Vincent Frering

  2. Espace Médico-Chirurgical, Immeuble ʽʽTrait d’Unionʼʼ, Entrée A29 Av des Sources, 69009, Lyon, France

    Marie-Cécile Blanchet

  3. Department of Nutrition 29 avenue des Sources- Clinique de la Sauvegarde, 69009, Lyon, France

    Yann Matussière

  4. Department of anesthesiology - 29 avenue des Sources- Clinique de la Sauvegarde, 69009, Lyon, France

    Alexandre Vulliez, Thomas Lanz & Fabienne Monier

Authors
  1. Marie-Cécile Blanchet
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  2. Benoît Gignoux
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  3. Yann Matussière
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  4. Alexandre Vulliez
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  5. Thomas Lanz
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  6. Fabienne Monier
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  7. Vincent Frering
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Corresponding author

Correspondence to Marie-Cécile Blanchet.

Ethics declarations

Informed Consent

Informed consent was obtained from all participants.

Human and Animal Rights

The study was performed in accord with the ethical standards of the Declaration of Helsinki.

Conflict of Interest

The authors declare that they have no conflict of interest.

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None

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Blanchet, MC., Gignoux, B., Matussière, Y. et al. Experience with an Enhanced Recovery After Surgery (ERAS) Program for Bariatric Surgery: Comparison of MGB and LSG in 374 Patients. OBES SURG 27, 1896–1900 (2017). https://doi.org/10.1007/s11695-017-2694-6

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  • DOI: https://doi.org/10.1007/s11695-017-2694-6

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