Practical clinical recommendations for perioperative care in bariatric surgery 2023

Czech version

Authors: Igor Satinský ^1,2; Martin Hrubý ³; Petra Šrámková ⁴; Jiří Patka ⁵; Michal Čierný ⁶; Pavol Babiak ⁷; Igor Šimoník ⁸; Peter Schwarz ¹; Martin Haluzík ^9,10
Authors‘ workplace: Centrum pro léčbu obezity, Nemocnice Havířov, p. o. ¹; Ústav nelékařských zdravotnických studií, Fakulta veřejných politik, Slezská univerzita v Opavě ²; Centrum bariatrické a metabolické chirurgie, Krajská nemocnice Liberec, a. s., Nemocnice Turnov ³; Centrum pro léčbu obezity a metabolických poruch, OB klinika a. s., Praha ⁴; Anesteziologicko-resuscitační oddělení, Krajská nemocnice Liberec, a. s., Nemocnice Turnov ⁵; Chirurgické oddělení, Nemocnice Břeclav ⁶; Anesteziologicko-resuscitační oddělení, Nemocnice Břeclav ⁷; Chirurgické oddělení, Nemocnice sv. Zdislavy, Mostiště ⁸; Centrum diabetologie, IKEM Praha ⁹; Ústav lékařské biochemie a laboratorní diagnostiky 1. LF UK a VFN v Praze ¹⁰
Published in: Čas. Lék. čes. 2023; 162: 344-356
Category: Recommended method

Overview

Bariatric surgery is the most effective treatment for the morbid obesity. It results in sustained weight loss as well as pronounced effects on obesity-related comorbidities. In the last twenty years the number of procedures performed worldwide increased. Therefore, the effort to establish a consensus in perioperative care based on best evidence in this issue is evident.

Working Group of Joint Section of Bariatric and Metabolic Surgery of Czech Surgery Society and Czech Obezitology Society reached practical recommendations for ERAS (Enhanced Recovery After Surgery) in perioperative care in bariatric surgery. It issued from ERAS recommendations published in 2021. Working group adopted the original text, consequently adapted and in particular cases affixed its commentary. The electronic voting of all members of working group was the final phase, by which the strength of consensus of particular elements was expressed.

The Czech working group reached the consensus with recommendations ERABS (Enhanced Recovery After Bariatric Surgery) in the most elements. For some interventions of ERAS protocol for bariatric surgery the quality of evidence is low. Therefore, the evidence-based practices may need to be extrapolated from other surgeries.

Keywords:

bariatric and metabolic surgery, Enhanced Recovery After Surgery – practical clinical recommendations

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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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