Fast Track Care for Gastric Bypass Patients Decreases Length of Stay Without Increasing Complications in an UnselectedPatient Cohort

Abstract

Patients that received fast track care had a decreased length of stay. Although more complications occurred after discharge in the fast track care group, this did not lead to adverse outcomes. Fast track does enhance recovery and is suitable for unselected patients. Care providers should select their patients for early discharge and pursue a low threshold for readmission.

Results of Implementing an Enhanced Recovery After Bariatric Surgery (ERABS) Protocol

“…However, early readmission rates (7.5 %) and reoperation rates (2.5 %) did not change significantly and were similar to rates in previous ERABS studies [15,16]. This ERABS protocol includes intensive monitoring of patients by telephone by the obesity 2 The mean number of procedures in one OR on one day nurse, with a low threshold to reassess patients in the emergency department and to readmit the patients for observation.…”

“…One study (Geubbels et al [16]) described their scoring system in detail and also used the Clavien-Dindo classification. Results of our study are comparable with their results, with an increase in complications after implementation of ERABS, although it did not cause an increase in serious adverse events.…”

“…In search of efficient and cost-effective healthcare, Enhanced Recovery After Surgery (ERAS) protocols (or fast-track protocols) have been developed for different types of abdominal procedures [9][10][11]. More recent interest has been shown in Enhanced Recovery After Bariatric Surgery protocols (ERABS protocols), although data in the literature is currently scarce [12][13][14][15][16][17]. The combination of the increasing number of bariatric procedures worldwide and the specific perioperative difficulties and risks for this particular population [13,15] makes this type of surgery highly eligible for ERAS protocols.…”

Risk Stratification Models: How Well do They Predict Adverse Outcomes in a Large Dutch Bariatric Cohort?

“…), quick mobilization, and early oral intake. A full description of our fast track program can be found in previous publications [42].…”

Early Postoperative Progression to Solid Foods Is Safe After Roux-en-Y Gastric Bypass

“…ERAS has resulted in a shorter length of stay with fewer complications without an increase of readmissions or mortality [5][6][7]. Variations of the Bfast-trackâ nd Benhanced recovery after surgery^programmes have recently been applied to bariatric surgery [8][9][10][11][12][13][14][15][16][17][18][19]. However, the reduction of admission time was the main focus.…”