Fast Track Program in Conversion Bariatric Surgery, as Safe as in Primary Bariatric Surgery?

Galal, Abdelrahman Mohammad; Boerma, Evert-Jan G.; Fransen, Sofie; Meesters, Berry; Damink, Steven W. M. Olde; Greve, Jan

doi:10.1007/s11695-019-04268-7

Cited by 5 publications

(3 citation statements)

References 42 publications

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“…due to multi-morbidity, as a result of the frailty syndrome and worse physical condition. LOS after revisional procedures can be shortened using the early discharged principle, in accordance with the Fast Tract Protocol (FTP), as a safe method that does not increase postoperative complications, but requires open and frequent contact between patients and medical personnel [ 27 ]. The FTP concept in patients undergoing bariatric surgery is safe and reliable and should be recommended in bariatric surgery practice [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Revisional bariatric procedures in the group of patients over 60 years of age: a multicenter cohort study (PROSS Study).

Zarzycki,

Rymarowicz,

Małczak

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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Introduction The constantly increasing prevalence of obesity in the population and the lengthening of life expectancy affect the appearance of the problem of pathological obesity also in the elderly. At the same time, an increase in the number of bariatric procedures (also revisional) performed in elderly patients is observed. Aim To assess the indications for revisional bariatric procedures along with the safety and postoperative results in the group of patients over 60 years of age. Material and methods The study was conducted in 2019–2020 among patients undergoing revisional bariatric procedures in Polish bariatric centers. The data were obtained through a multicenter, observational retrospective study. Results Our data consist of 55 (8.1%) patients older than 60 years of age who underwent revisional bariatric procedures. Revisional procedures in the group of patients over 60 years of age had fewer postoperative complications (16.4% vs. 23.1%, p < 0.05). Remission of type II diabetes or arterial hypertension was achieved to a lesser extent in patients operated on over the age of 60 (13% and 15%, respectively) compared to patients operated on under the age of 60 (47% and 34%, respectively; p < 0.05). Conclusions Revisional bariatric procedures in the group of patients over 60 years of age do not cause an increased risk of postoperative complications or prolonged hospital stay. The possibility of achieving remission or improvement in the treatment of comorbidities in patients operated on over 60 years of age is relatively lower compared to a younger group.

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Section: Discussionmentioning

confidence: 99%

Revisional bariatric procedures in the group of patients over 60 years of age: a multicenter cohort study (PROSS Study).

Zarzycki,

Rymarowicz,

Małczak

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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“…13 Subsequently, bariatric nurse specialists from each unit were invited to complete the survey online. 14 This survey consisted of 7 main domains, adopted from guidelines published by the ERAS Society 6 : (i) implementation of ERAS protocol, (ii) preoperative practices including patient counselling or dietary adjustments for weight loss, (iii) intraoperative practices with optimization of postoperative pain and nausea management, (iv) postoperative care on the ward, (v) buildup of dietary requirement, (vi) discharge and follow-up protocols and (vii) venous thromboembolism (VTE) prophylaxis regimens.…”

Section: Methodsmentioning

confidence: 99%

“…A list of solely public‐funded bariatric units was retrieved using the National Bariatric Surgery Registry 13 . Subsequently, bariatric nurse specialists from each unit were invited to complete the survey online 14 …”

Section: Methodsmentioning

confidence: 99%

The need for standardized perioperative care for patients undergoing bariatric and metabolic surgery in the United Kingdom

Lee,

Courtney

2024

Clinical Obesity

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SummaryEnhanced recovery after surgery (ERAS) protocols are shown to improve patient outcomes and reduce length of hospital stay. However, there is currently limited consensus on the perioperative management of patients undergoing bariatric and metabolic surgery (BMS) in the United Kingdom. This study aims to survey the level of consistency in patient care undergoing BMS. Bariatric nurse specialists from 30 bariatric units completed an anonymised, online survey from 21 December 2022 to 21 February 2023. Most units (77%) have implemented a premade postoperative care bundle protocol including predetermined timing of oral intake (77%) and postoperative day 1 bloods (60%). 63% of units have also established pre‐set analgesia and anti‐emetic bundles. Date of discharge is variable, ranging from 1 day after surgery (50%) to a ‘two night stay’ protocol (33%) to within 4 days after surgery (17%). Most follow‐up clinics are either led by dietitians (33%) or both bariatric nurse specialists and dietitians collaboratively (57%). Patients are usually established on solid food 6 weeks after surgery in 53% (16/30) units. Chemical venous thromboembolism (VTE) prophylaxis was either given on day of surgery postoperatively (60%), day before (20%) or after (17%) surgery. Our study shows significant variability of care throughout the surgical pathway, in the study population. The results suggest a need for consensus guidelines outlining the best‐practice approach to managing patients undergoing BMS; due to the heterogeneity of the patient group, these guidelines should contain overarching generalisable recommendations that can then be tailored to individual patients.

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The impact of procedure type on 30-day readmissions following metabolic and bariatric surgery: postoperative complications of bariatric surgery

2022

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Fast Track Program in Conversion Bariatric Surgery, as Safe as in Primary Bariatric Surgery?

Cited by 5 publications

References 42 publications

Revisional bariatric procedures in the group of patients over 60 years of age: a multicenter cohort study (PROSS Study).

Revisional bariatric procedures in the group of patients over 60 years of age: a multicenter cohort study (PROSS Study).

The need for standardized perioperative care for patients undergoing bariatric and metabolic surgery in the United Kingdom

The impact of procedure type on 30-day readmissions following metabolic and bariatric surgery: postoperative complications of bariatric surgery

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