欧洲减肥手术ERAS指南2016

World JournalWorld J Surg(2016)40:2065-2083of SurgeryCrossMarkD0I10.1007s00268-016-3492-3SCIENTIFIC REVIEWGuidelines for Perioperative Care in Bariatric Surgery:EnhancedRecovery After Surgery (ERAS)Society RecommendationsA.Thorell'.A.D.MacCormick23.S.Awad45.N.Reynolds.D.Roulins.N.Demartines.M.Vignaud'.A.Alvarez.P.M.Singh.D.N.Lobo10Published online:4 March 2016Societe Internationale de Chirurgie 2016AbstractBackground During the last two decades,an increasing number of bariatric surgical procedures have been per-formed worldwide.There is no consensus regarding optimal perioperative care in bariatric surgery.This review aimsto present such a consensus and to provide graded recommendations for elements in an evidence-based "enhanced"perioperative protocol.Methods The English-language literature between January 1966 and January 2015 was searched,with particularattention paid to meta-analyses,randomised controlled trials and large prospective cohort studies.Selected studieswere examined,reviewed and graded.After critical appraisal of these studies,the group of authors reached aconsensus recommendation.Results Although for some elements,recommendations are extrapolated from non-bariatric settings (mainly col-orectal),most recommendations are based on good-quality trials or meta-analyses of good-quality trials.Conclusions A comprehensive evidence-based consensus was reached and is presented in this review by theenhanced recovery after surgery (ERAS)Society.The guidelines were endorsed by the International Association forSurgical Metabolism and Nutrition (IASMEN)and based on the evidence available in the literature for each of theelements of the multimodal perioperative care pathway for patients undergoing bariatric surgery.☒A.Thorellanders.thorell @erstadiakoni.seDepartment of Visceral Surgery,University Hospital CHUV,Lausanne,SwitzerlandKarolinska Institutet,Department of Clinical Sciences,Departement d'anesthesie reanimation Service de chirurgieDanderyds Hospital Department of Surgery,Erstadigestive,CHU estaing 1,place Lucie et Raymond AubracHospital,116 91 Stockholm,SwedenClermont Ferrand.France2Department of Surgery,University of Auckland,Auckland,Department of Anesthesia,Hospital Italiano de Buenos Aires,New ZealandBuenos Aires University,1179 Buenos Aires,ArgentinaDepartment of Surgery,Counties Manukau HealthDepartment of Anesthesia,All India Institute of MedicalAuckland.New ZealandSciences,New Delhi 110029,IndiaThe East-Midlands Bariatric Metabolic Institute.Derby10Gastrointestinal Surgery,National Institute for HealthTeaching Hospitals NHS Foundation Trust.Royal DerbyResearch Nottingham Digestive Diseases BiomedicalHospital.Derby DE22 3NE.UKResearch Unit.Nottingham University Hospitals andSchool of Clinical Sciences,University of Nottingham,University of Nottingham,Queen's Medical Centre,Nottingham NG7 2UH,UKNottingham NG7 2UH.UK②Springer