Enhanced Recovery after Surgery (ERAS) in Bariatric Surgery


Series: Surgery – Procedures, Complications, and Results

BISAC: MED111000

Target Audience: Surgeons, Nurses, Anesthesiologists, Endocrinologists, Medical Students, Patients

Enhanced recovery after surgery (ERAS) programs are a multidisciplinary approach in the perioperative care of the patient undergoing major surgery, including pre, intra and postoperative measures, based on the actual evidence published in literature (evidence-based medicine), to improve the postoperative recovery of the patient. ERAS protocols have been widely developed in colorectal surgery, but, given their excellent results, new protocols and guidelines have been developed in other surgical fields, including abdominal and extra-abdominal areas. In the last decade, several ERAS protocols have been implemented worldwide in bariatric surgery, confirming their safety and advantages of ERAS approaches, even on morbidly obese patients.

The aim of this book is to update the actual evidence about ERAS protocols on bariatric surgery, analyzing separately the different components and multidisciplinary approach of the ERAS programs.

Table of Contents


Chapter 1. Preoperative Information of the Patient and Psychological Suitability for Bariatric Surgery
(Maria De Lourdes Bolaños Muñoz, Gilberto Gonzalez Ramirez, Diana Laura Martinez Bolaños – Department of Neuropsychology and Neurolingüístic, Neuroscience Institute, Universidad de Guadalajara Jalisco, México, et al.)

Chapter 2. Preoperative Evaluation in Bariatric Surgery
(María Asunción Acosta Mérida, Luis Manuel Santana Ortega – Head of the Department of Esophagogastric, Endocrinometabolic, and Obesity Surgery at the University Hospital of Gran Canaria, Dr. Negrín. Professor of Digestive Surgery at the University of Las Palmas de Gran Canaria. Canary Islands, Spain, et al.)

Chapter 3. Relevance of Upper Digestive Endoscopy and Screening of Helicobacter Pylori in Bariatric Surgery
(Soledad García Gómez-Heras, Luis Manuel Santana Ortega – Human Histology, Basic Health Department, Health Science Faculty, Rey Juan Carlos University, Madrid, Spain)

Chapter 4. Preoperative Nutritional Optimization
(Pablo Priego – Department of General Surgery, Division of Esophagogastric and Bariatric Surgery, Ramón y Cajal University Hospital, Madrid, Spain)

Chapter 5. Physical Prehabilitation
(Artur Marc Hernández, Eva Hernández-García, Jaime Ruiz-Tovar, MD – Faculty of Humanities and Social Sciences, University Isabel I, Burgos, Spain, et al.)

Chapter 6. Immediate Preoperative Assessment
Pablo Royo Dachary, Helen Almedia Ponce – Department of Surgery, University of Zaragoza, Zaragoza, Spain)

Chapter 7. Antibiotic and Antithrombotic Prophylaxis in Bariatric Surgery
(Andrés García-Marín, Mercedes Pérez-López – Department of Surgery. Hospital de Hellín, Albacete, Spain. Professor of Medicine, University Alfonso X El Sabio, Madrid, Spain)

Chapter 8. Intraoperative Anesthetic Measures
(Carmen Vallejo Lantero, Esther García Villabona – Anesthesiology Department, Hospital Universitario de La Princesa, Madrid, Spain, et al.)

Chapter 9. Opioid-Free Anesthesia and Goal-Directed Fluid Therapy
(Esther García Villabona, Carmen Vallejo Lantero – Anesthesiology Department, Hospital Universitario de La Princesa, Madrid, Spain, et al.)

Chapter 10. Intraoperative Surgical Measures
(Dennis César Lévano-Linares, Patricia Sanchez-Salcedo, Belen Manso Abajo, David Alías Jimenez, Jaime Ruíz-Tovar – Surgery Department, Rey Juan Carlos University, Madrid, Spain, et al.)

Chapter 11. Early Postoperative Course in Bariatric Surgery
(Andrei Sarmiento, Ramiro Carbajal, Jorge Orrego, Juan Valverde Alva – Department of Surgery, Universidad Privada San Juan Bautista, Lima, Perú, et al.)

Chapter 12. Diet in Bariatric Surgery. Progression and Lifestyle Modification. A Multidisciplinary Approach.
(Virginia Esperanza Fernández Ruiz, Maria Dolores Frutos Bernal – Dietician-Nutritionist, Bariatric Surgery Unit, Hospital Clínic Universitary “Virgen de la Arrixaca,” Murcia, Spain, et al.)

Chapter 13. Discharge Criteria and Follow-Up
(Covadonga Martín Garrido – Nursing Department, Hospital del Tajo, Madrid, Spain)

Chapter 14. Postoperative Recommendations of Physical Activity
(Artur Marc Hernández, Eva Hernández-García, Jaime Ruiz-Tovar – Faculty of Humanities and Social Sciences, University Isabel I, Burgos, Spain, et al.)

Chapter 15. Implementation of ERAS Protocols in Bariatric Surgery
(Jaime Ruiz-Tovar, Artur Marc Hernandez – Department of Surgery, Rey Juan Carlos, Madrid, Spain, et al.)

Chapter 16. Economic Aspects of ERAS Protocols Implementation
(Alfonso Higueras – Department of Health Sciences. Universidad Alfonso X. Madrid, Spain)


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