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Cir Esp. 2019 Jun 17. pii: S0009-739X(19)30150-2. doi: 10.1016/j.ciresp.2019.05.003. [Epub ahead of print]

Enhanced recovery after bariatric surgery.

[Article in English, Spanish]

Author information

1
Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Madrid, España. Electronic address: jruiztovar@gmail.com.
2
Servicio de Cirugía General, Complejo Hospitalario Universitario de Vigo, Instituto de Investigación Biomédica Galicia Sur, Vigo, Pontevedra, España.
3
Servicio de Cirugía General, Hospital Clínico Universitario San Carlos, Madrid, España.
4
Servicio de Anestesiología y Reanimación, Hospital Universitario La Princesa, Madrid, España.
5
Laboratorio de Análisis y Optimización del Entrenamiento, Centro de Investigación del Deporte, Universidad Miguel Hernández, Elche, Alicante, España.
6
Servicio de Cirugía General, Hospital Universitario de Getafe, Getafe, Madrid, España.
7
Servicio de Cirugía General, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.

Abstract

Enhanced recovery after surgery (ERAS) protocols are care programs based on scientific evidence and focused on postoperative recovery. They encompass all aspects of patient care and require multidisciplinary management, with the participation of diverse specialists. The implementation of these protocols is being extended to several abdominal and extra-abdominal surgeries, including bariatric approaches. Diverse specialists with wide experience in the management of morbidly obese patients have taken part in the working group that developed this protocol. A bibliographic search about ERAS in bariatric surgery in several databases was performed to evaluate the current scientific evidence, establishing evidence levels and recommendations according to the GRADE methodology. The items included in this protocol are separated into preoperative, perioperative and postoperative guidelines.

KEYWORDS:

Bariatric surgery; Cirugía bariátrica; Enhanced Recovery After Surgery; Enhanced recovery after surgery; Fast-track recovery; Recuperación intensificada; Rehabilitación multimodal

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