Meta-Analysis of Enhanced Recovery Protocols in Bariatric Surgery

Type Article

Journal Article

Authors

O. S. Ahmed; A. C. Rogers; J. C. Bolger; A. Mastrosimone; W. B. Robb

Year of publication

2018

Publication/Journal

J Gastrointest Surg

Volume

22

Issue

6

Pages

964-972

Abstract

BACKGROUND: Enhanced recovery after surgery (ERAS) guidelines, fast-track protocols, and alternative clinical pathways have been widely promoted in a variety of disciplines leading to improved outcomes in post-operative morbidity and length of stay (LOS). This meta-analysis assesses the implications of standardized management protocols in bariatric surgery. METHODS: The PRISMA guidelines were adhered to. Databases were searched with the application of pre-defined inclusion and exclusion criteria. Results were reported as mean differences or pooled odds ratios (OR) with 95% confidence intervals (95% CI). Individual protocols and surgical approaches were assessed through subgroup analysis, and sensitivity analysis of methodological quality was performed. RESULTS: A total of 1536 studies were screened; 13 studies were eventually included for meta-analysis involving a total of 6172 patients. Standardized perioperative techniques were associated with a savings of 19.5 min in operative time (p