Clinical practice guidelines for perioperative care in bariatric surgery 2023: Adapted ERAS (enhanced recovery after surgery) guidelines with consensual voting of the working group of the Joint Bariatric and Metabolic Surgery Section of the Czech Surgery….

Q4 Medicine Rozhledy v Chirurgii Pub Date : 2023-01-01 DOI:10.33699/PIS.2023.102.7.283-297
I Satinský, M Hrubý, P Šrámková, J Patka, M Čierný, P Babiak, I Šimonik, P Schwarz, M Haluzík
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Abstract

Introduction: Currently, bariatric surgery is the most effective treatment for the morbid obesity. It provides sustained weight loss as well as demonstrated positive effects on obesity-related comorbidities. The number of procedures performed worldwide has seen a sharp increase in the past twenty years. Therefore, an effort has been developed to establish a consensus in perioperative care based on best evidence.

Methods: The working group of the Joint Bariatric and Metabolic Surgery Section of the Czech Surgery Society and Czech Society of Obesitology prepared clinical practice guidelines for the ERAS (enhanced recovery after surgery) concept in perioperative care in bariatric surgery. The working group based its guidelines on ERAS guidelines published in 2021. The working group adopted the original text and then adapted the text and added its comments to specific items as appropriate. Electronic voting of all members of the working group was the final phase, by which the strength of consensus was expressed with respect to individual elements of the guidelines.

Results: The Czech working group reached a consensus with ERABS (enhanced recovery after bariatric surgery) guidelines for most elements. The quality of evidence is low for some interventions of the ERAS protocol for bariatric surgery. Therefore, extrapolation from other surgeries and fields is needed for evidence-based practice.

Conclusion: The guidelines are intended for clinical practice in bariatric surgery with the ERAS protocol based on updated evidence and guidelines. It is based on recent and comprehensive ERAS guidelines adopted and adapted by the Czech working group of the Joint Bariatric and Metabolic Surgery Section of the Czech Surgery Society and Czech Society of Obesitology. Some supplementations and specifications are reflected in comments added to the Czech version.

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2023 年减肥手术围手术期护理临床实践指南:经捷克外科减肥和代谢外科联合工作组一致投票通过的ERAS(术后恢复强化)指南修订版....
简介目前,减肥手术是治疗病态肥胖症最有效的方法。它不仅能持续减轻体重,而且对肥胖相关的并发症也有积极作用。在过去的二十年里,全球实施的手术数量急剧增加。因此,我们努力在最佳证据的基础上就围手术期护理达成共识:方法:捷克外科学会和捷克肥胖症学会减肥和代谢外科联合工作组为减肥手术围手术期护理中的 ERAS(术后强化恢复)概念制定了临床实践指南。工作组的指南以 2021 年发布的 ERAS 指南为基础。工作组通过了原始文本,然后对文本进行了改编,并酌情对特定项目添加了自己的意见。工作小组所有成员的电子投票是最后阶段,通过电子投票来表达对指南中个别内容的共识强度:捷克工作组与ERABS(加强减肥术后恢复)指南的大部分内容达成了共识。减肥手术ERAS方案的某些干预措施的证据质量较低。因此,需要从其他手术和领域进行推断,以实现循证实践:该指南旨在根据最新的证据和指南制定 ERAS 方案,用于减肥手术的临床实践。它以捷克外科学会减肥与代谢外科联合分会和捷克肥胖症学会的捷克工作组通过并改编的最新、全面的 ERAS 指南为基础。一些补充和说明反映在捷克版的评论中。
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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
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0.00%
发文量
67
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