A4 Vertaisarvioitu artikkeli konferenssijulkaisussa
Outcome of Laparoscopic Gastric Bypass (LRYGB) With a Program for Enhanced Recovery After Surgery (ERAS)
Tekijät: Hahl T, Peromaa-Haavisto P, Tarkiainen P, Knutar O, Victorzon M
Toimittaja: Miller, K
Konferenssin vakiintunut nimi: World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO)
Julkaisuvuosi: 2016
Kokoomateoksen nimi: IFSO15: 20TH WORLD CONGRESS
Tietokannassa oleva lehden nimi: IFSO15: 20TH WORLD CONGRESS
Aloitussivu: 69
Lopetussivu: 72
Sivujen määrä: 4
ISBN: 978-88-7587-730-9
Tiivistelmä
Background Relatively little is known about ERAS following bariatric surgery in general or following laparoscopic Roux-en-Y gastric bypass (LRYGB) in particular.Patients and Methods This is a prospective, observational study of 388 consecutive patients that underwent LRYGB with ERAS in a general hospital.The ERAS protocol included standardizations of pre-, intra-, and postoperative modalities in order to reduce the stress response of the patients. Primary outcome measures were length of stay (LOS), postoperative morbidity, readmissions, and reoperations.Results Mean LOS was 1.3 days (1.1), median 1 day (1-14). Of all patients, 322 (83%) were discharged on the first postoperative day ( POD). Overall morbidity was 9.8%. The readmission rate was 4.9%.. With a follow up rate of 83% at 1 year TWL was 31% and EBMIL 70%. Total remission of DM2 and HT was achieved in 70% and 42% of the patients, respectively.Conclusion Enhanced recovery following LRYGB with ERAS programs is possible and safe even in a low volume, general hospital. Early discharge does not increase postoperative morbidity or readmissions.
Background Relatively little is known about ERAS following bariatric surgery in general or following laparoscopic Roux-en-Y gastric bypass (LRYGB) in particular.Patients and Methods This is a prospective, observational study of 388 consecutive patients that underwent LRYGB with ERAS in a general hospital.The ERAS protocol included standardizations of pre-, intra-, and postoperative modalities in order to reduce the stress response of the patients. Primary outcome measures were length of stay (LOS), postoperative morbidity, readmissions, and reoperations.Results Mean LOS was 1.3 days (1.1), median 1 day (1-14). Of all patients, 322 (83%) were discharged on the first postoperative day ( POD). Overall morbidity was 9.8%. The readmission rate was 4.9%.. With a follow up rate of 83% at 1 year TWL was 31% and EBMIL 70%. Total remission of DM2 and HT was achieved in 70% and 42% of the patients, respectively.Conclusion Enhanced recovery following LRYGB with ERAS programs is possible and safe even in a low volume, general hospital. Early discharge does not increase postoperative morbidity or readmissions.
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