No abstract

Guidelines for enhanced recovery after surgery (ERAS) are widely used and their efficiency was clearly demonstrated by numerous studies. Number of publications on this topic in bariatric surgery is significantly lower compared with other fields of surgery. However, the data accumulated allow to compose recommendations based on studies with high level of evidence. Authors review existing methods of enhanced recovery in their implementation into bariatric surgery. Enhanced recovery methods can be used to optimize all stages of perioperative care and include data on preoperative preparation, maintenance of electrolyte balance, prevention of postoperative nausea and vomiting, sufficient analgesia and safe discharge form hospital. Suggested guidelines for bariatric surgery are implied to be used by a multidisciplinary team.

Within three years (2011 - 2013), we collected data on the operations carried out by sending a questionnaire to members of the Russian Society of Bariatric Surgeons. In the questionnaire were asked to fill in a table on the total number of operations, their structure, subject to the applicable access and report on fatal cases indicating the cause of death.The number of executed operations (excluding installation gastric balloon) increased from 989 to 1525.In 2012, steel longitudinal gastrectomy performed more often than banding. The share gastroshuntirovany continues to decline throughout the period.In 2013, against the backdrop of a significant increase in the number of bariatric interventions deaths were recorded.