Open AccessGuidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update
Author(s) -
Stenberg Erik,
Falcão Luiz Fernando,
O'Kane Mary,
Liem Ronald,
Pournaras Dimitri J.,
Salminen Paulina,
Urman Richard D.,
Wadhwa Anupama,
Gustafsson Ulf O.,
Thorell Anders
Publication year - 2022
Publication title -
world journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.115
H-Index - 148
eISSN - 1432-2323
pISSN - 0364-2313
DOI - 10.1007/s00268-021-06394-9
Subject(s) - medicine , randomized controlled trial , vascular surgery , medline , quality of evidence , evidence based medicine , critical appraisal , protocol (science) , guideline , grading (engineering) , perioperative , cardiothoracic surgery , systematic review , psychological intervention , general surgery , intensive care medicine , surgery , cardiac surgery , alternative medicine , nursing , law , engineering , civil engineering , pathology , political science
Background This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta‐analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations. Results The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence‐based practices may need to be extrapolated from other surgeries. Conclusion A comprehensive, updated evidence‐based consensus was reached and is presented in this review by the ERAS® Society.