Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass

Background: Bariatric surgery is a surgical procedure for patients with extreme obesity. Enhanced Recovery after Surgery (ERAS) is a method that provides special peri- and post-operation care. Here, we aimed to compare the effects of ERAS and standard recovery cares. Materials and Methods: This is a...

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Main Authors: Mohsen Mahmoudieh, Behrooz Kalidari, Masoud Sayadi Shahraki, Hamid Mellali, Hamid Mirzaie, Majid Salamati
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=99;epage=99;aulast=Mahmoudieh
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author Mohsen Mahmoudieh
Behrooz Kalidari
Masoud Sayadi Shahraki
Hamid Mellali
Hamid Mirzaie
Majid Salamati
author_facet Mohsen Mahmoudieh
Behrooz Kalidari
Masoud Sayadi Shahraki
Hamid Mellali
Hamid Mirzaie
Majid Salamati
author_sort Mohsen Mahmoudieh
collection DOAJ
description Background: Bariatric surgery is a surgical procedure for patients with extreme obesity. Enhanced Recovery after Surgery (ERAS) is a method that provides special peri- and post-operation care. Here, we aimed to compare the effects of ERAS and standard recovery cares. Materials and Methods: This is a randomized clinical trial that was performed in 2020-2021 in Isfahan on 108 candidates for mini gastric bypass. Patients were then randomly divided into two equal groups receiving ERAS and standard recovery protocols. Patients were examined and visited after one month regarding the average number of hospitalization days, the average days required to return to normal activity or work, occurrence of pulmonary thromboemboli (PTE) and the rate of readmission. Results: Patients that received ERAS had significantly lower frequencies of nausea and vomiting (P = 0.032). Patients that received ERAS had significantly lower hospitalization duration (P < 0.001) compared to controls. No other significant differences were observed between two groups regarding surgery complication, re-admission rate and occurrence of PTE (P > 0.99 for all). Conclusion: Patients that received ERAS protocol after gastric bypass had significantly lower hospitalization duration and lower incidence of nausea and vomiting. They also had similar post-operative outcomes compared to the standard protocol.
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spelling doaj.art-4860bdd074f74a32b472bef6a018abc12023-10-26T05:43:16ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752023-01-01121999910.4103/abr.abr_26_22Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypassMohsen MahmoudiehBehrooz KalidariMasoud Sayadi ShahrakiHamid MellaliHamid MirzaieMajid SalamatiBackground: Bariatric surgery is a surgical procedure for patients with extreme obesity. Enhanced Recovery after Surgery (ERAS) is a method that provides special peri- and post-operation care. Here, we aimed to compare the effects of ERAS and standard recovery cares. Materials and Methods: This is a randomized clinical trial that was performed in 2020-2021 in Isfahan on 108 candidates for mini gastric bypass. Patients were then randomly divided into two equal groups receiving ERAS and standard recovery protocols. Patients were examined and visited after one month regarding the average number of hospitalization days, the average days required to return to normal activity or work, occurrence of pulmonary thromboemboli (PTE) and the rate of readmission. Results: Patients that received ERAS had significantly lower frequencies of nausea and vomiting (P = 0.032). Patients that received ERAS had significantly lower hospitalization duration (P < 0.001) compared to controls. No other significant differences were observed between two groups regarding surgery complication, re-admission rate and occurrence of PTE (P > 0.99 for all). Conclusion: Patients that received ERAS protocol after gastric bypass had significantly lower hospitalization duration and lower incidence of nausea and vomiting. They also had similar post-operative outcomes compared to the standard protocol.http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=99;epage=99;aulast=Mahmoudiehbariatric surgeryenhanced recovery after surgerygeneral surgery
spellingShingle Mohsen Mahmoudieh
Behrooz Kalidari
Masoud Sayadi Shahraki
Hamid Mellali
Hamid Mirzaie
Majid Salamati
Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
Advanced Biomedical Research
bariatric surgery
enhanced recovery after surgery
general surgery
title Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
title_full Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
title_fullStr Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
title_full_unstemmed Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
title_short Comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
title_sort comparison of the effects of special care enhanced recovery and conventional recovery methods after mini omega gastric bypass
topic bariatric surgery
enhanced recovery after surgery
general surgery
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=99;epage=99;aulast=Mahmoudieh
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