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- Amilcare Parisi, Jacopo Desiderio, Roberto Cirocchi, and Stefano Trastulli.
- Department of Emergency and Digestive Surgery, St. Mary's Hospital, 05100, Terni, Italy.
- Obes Surg. 2020 Dec 1; 30 (12): 5071-5085.
ObjectiveOur aim was to conduct an up-to-date systematic review of randomised controlled trials (RCTs) to determine the benefits and harms of enhanced recovery after surgery (ERAS) programme in bariatric surgery.MethodsMEDLINE, Embase, PubMed, CINAHL and the Cochrane Library were searched for RCTs on ERAS versus standard care (SC) until April 2020. The primary endpoint was the length of hospital stay (LOS).ResultsFive RCTs included a total of 610 procedures. ERAS adoption is capable of significantly reducing LOS (MD of - 0.51; 95% CI - 0.92 to - 0.10; P = 0.01) and postoperative nausea and vomiting (PONV) (OR 0.42; 95% CI 0.19 to 0.95; P = 0.04). No significant differences in terms of adverse events and readmissions.ConclusionsThe implementation of ERAS in bariatric surgery produces a significant reduction in LOS and PONV.
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