Influence of Preoperative Weight Loss on Outcomes of Bariatric Surgery for Patients Under the Enhanced Recovery After Surgery Protocol

• DOI: 10.1007/s11695-018-03660-z
• Publication Date: 2019-01-09T23:39:54Z
• Authors: Tomasz Stefura; Jakub Droś; Artur Kacprzyk; Mateusz Wierdak; Monika Proczko-St...; Michał Szymański; Magdalena Pisarska; Piotr Małczak; Mateusz Rubinkiewicz; Michał Wysocki; Anna Rzepa; Michał Pędziwiatr; Andrzej Budzyński; Piotr Major
• Keywords: Weight Loss Surgery; Preoperative care

The enhanced recovery after surgery (ERAS) protocol, which emphasizes preoperative interventions, is safely implemented in patients undergoing bariatric surgery. Patients are additionally encouraged to achieve weight loss preoperatively. We aimed identify factors contributing and assess their influence on outcomes of among under the ERAS protocol. reviewed a prospectively created database two centers with 909 treated accordance principles. included demographic characteristics, related or perioperative period, short-term outcomes. Our endpoints analyses (1) potentially (2) treatment. Diabetes mellitus (p = 0.007), obstructive sleep apnea < 0.001), previous 0.012) were identified as predictors loss. Steatohepatitis 0.001) respiratory disorder 0.004) decreased chance achieving satisfactory body mass reduction. Except for operative time, early not influenced by who achieved less likely be lost follow-up 0.023). Postoperative was better could lose ≥ 5% total preoperatively 0.009). Unsatisfactory principles associated increased risk complications. Satisfactory predicts superior postoperative participation.