title: Optimizing perioperative care in bariatric surgery patients.
abstract: Enhanced recovery after surgery (ERAS) programs have been shown to minimise morbidity in other types of surgery, but comparatively less data exist investigating ERAS in bariatric surgery. This article reviews the existing literature to identify interventions which may be included in an ERAS program for bariatric surgery. A narrative literature review was conducted. Search terms included 'bariatric surgery', 'weight loss surgery', 'gastric bypass', 'ERAS', 'enhanced recovery', 'enhanced recovery after surgery', 'fast-track surgery', 'perioperative care', 'postoperative care', 'intraoperative care' and 'preoperative care'. Interventions recovered by the database search, as well as interventions garnered from clinical experience in ERAS, were used as individual search terms. A large volume of evidence exists detailing the role of multiple interventions in perioperative care. However, efficacy and safety for a proportion of these interventions for ERAS in bariatric surgery remain unclear. This review concludes that there is potential to implement ERAS programs in bariatric surgery.
authors.affiliation: Department of Surgery, South Auckland Clinical School, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, New Zealand. Daniel.Lemanu@middlemore.co.nz
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Lemanu
authors.forename: Sanket
authors.initials: S
authors.lastname: Srinivasa
authors.forename: Primal P
authors.initials: PP
authors.lastname: Singh
authors.forename: Sharon
authors.initials: S
authors.lastname: Johannsen
authors.forename: Andrew D
authors.initials: AD
authors.lastname: MacCormick
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Hill
mesh_terms: D050110:Bariatric Surgery / Q000379:methods / Q000534:rehabilitation* / Q000639:trends; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D009767:Obesity, Morbid / Q000534:rehabilitation* / Q000601:surgery; D019990:Perioperative Care / Q000379:methods / Q000534:rehabilitation* / Q000639:trends; D011183:Postoperative Complications / Q000534:rehabilitation