Journal
WORLD JOURNAL OF SURGERY
Volume 46, Issue 4, Pages 729-751Publisher
SPRINGER
DOI: 10.1007/s00268-021-06394-9
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Funding
- Orebro University
- Region Orebro County [OLL-939106]
- Bengt Ihre Foundation
- Erling Persson Family foundation [140604]
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This article presents the second updated guideline from the Enhanced Recovery After Surgery (ERAS) Society, providing a consensus and recommendations for optimal perioperative care in bariatric surgery. Through a comprehensive evaluation of literature, evidence-based consensus was achieved.
Background This is the second updated Enhanced Recovery After Surgery (ERAS (R)) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS (R) 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 (R) Society.
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