Affiliations 

  • 1 Medicine and Surgery, Holy Family Red Crescent Medical College and Hospital, Dhaka, BGD
  • 2 General Surgery, Sudan Medical Specialization, Khartoum, SDN
  • 3 Internal Medicine, Allama Iqbal Medical College, Lahore, PAK
  • 4 Surgery, Mayo Hospital, Lahore, PAK
  • 5 Plastic Surgery, Bahia Hospital, Salvador, BRA
  • 6 Community Medicine, University of Khartoum, Khartoum, SDN
  • 7 Medicine, St. George's University, Great River, USA
  • 8 Surgery, Sheikh Jaber Al-Ahmad Al-Sabah Hospital, Kuwait, KWT
  • 9 Medicine, Tbilisi State Medical University, Tbilisi, GEO
  • 10 Medicine, Allama Iqbal Medical College, Lahore, PAK
Cureus, 2024 Jan;16(1):e52648.
PMID: 38380206 DOI: 10.7759/cureus.52648

Abstract

Bariatric surgery is a critical strategy in managing morbid obesity. Enhanced recovery after surgery (ERAS) protocols have revolutionized perioperative care in this field. This systematic review aims to synthesize current evidence on the impact of ERAS protocols on patient-centered outcomes in bariatric surgery. A comprehensive search across multiple databases was conducted, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies involving adult patients undergoing bariatric surgery and focusing on the implementation and outcomes of ERAS protocols were included. Data extraction and analysis emphasized patient recovery, well-being, and satisfaction. Eleven studies met the inclusion criteria. The review revealed that ERAS protocols are associated with reduced postoperative recovery times, decreased hospital stays, and enhanced patient satisfaction. Notably, ERAS protocols effectively reduced complications and optimized resource utilization in bariatric surgery. Comparative insights from non-bariatric surgeries highlighted the versatility and adaptability of ERAS protocols across different surgical disciplines. ERAS protocols significantly improve patient-centered outcomes in bariatric surgery. Their adoption facilitates a patient-focused approach, accelerating recovery and enhancing overall patient well-being. The findings advocate for the broader implementation of ERAS protocols in surgical care, emphasizing the need for continuous refinement to meet evolving healthcare demands. This review supports the paradigm shift toward integrating ERAS protocols in bariatric surgery and potentially other surgical fields.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.