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

Bariatric surgery ERAS Enhanced recovery aftersurgery Meta-analysis Metabolic surgery Randomised controlled trials Sleeve gastrectomy Systematic review gastric bypass

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 31 05 2020
accepted: 21 09 2020
revised: 06 09 2020
pubmed: 28 9 2020
medline: 15 4 2021
entrez: 27 9 2020
Statut: ppublish

Résumé

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. 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). 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. The implementation of ERAS in bariatric surgery produces a significant reduction in LOS and PONV.

Identifiants

pubmed: 32981000
doi: 10.1007/s11695-020-05000-6
pii: 10.1007/s11695-020-05000-6
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

5071-5085

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Auteurs

Amilcare Parisi (A)

Department of Emergency and Digestive Surgery, St. Mary's Hospital, 05100, Terni, Italy.

Jacopo Desiderio (J)

Department of Emergency and Digestive Surgery, St. Mary's Hospital, 05100, Terni, Italy.

Roberto Cirocchi (R)

Department of Surgical and Biomedical Sciences, University of Perugia, St. Mary's Hospital, 05100, Terni, Italy.

Stefano Trastulli (S)

Department of Emergency and Digestive Surgery, St. Mary's Hospital, 05100, Terni, Italy. stefano.trastulli@hotmail.it.

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