American Society for Metabolic and Bariatric Surgery: postoperative care pathway guidelines for Roux-en-Y gastric bypass

IF 3.8 3区医学 Q1 SURGERY Surgery for Obesity and Related Diseases Pub Date : 2025-05-01 Epub Date: 2025-01-24 DOI:10.1016/j.soard.2025.01.005

Michael A. Edwards M.D. , Kinga Powers M.D. , R. Wesley Vosburg M.D. , Randal Zhou M.D. , Andrea Stroud M.D. , Nabeel R. Obeid M.D. , John Pilcher M.D. , Shauna Levy M.D. , Karina McArthur M.D. , Givi Basishvili , Amy Rosenbluth , Anthony Petrick , Henry Lin M.D. , Tammy Kindel M.D., Ph.D.

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Abstract

Background

Clinical care pathways and guidelines help guide and provide structure to clinicians and providers to improve healthcare delivery and quality. The Quality Improvement and Patient Safety (QIPS) Committee of the American Society for Metabolic and Bariatric Surgery (ASMBS) has previously published care pathways for the performance of laparoscopic sleeve gastrectomy (LSG), preoperative care of patients undergoing Roux-en-Y gastric bypass (RYGB), and most recently, intraoperative care of patients undergoing RYGB.

Objectives

This current RYGB care pathway guideline was created to address postoperative care guidance.

Setting

Academic Health Center.

Methods

For this systematic review, PubMed queries were performed from January 1979 to December 2019. Follow-up queries were performed from January 2020 to July 2024. Peer-reviewed publications were reviewed according to the level of evidence (LoE) regarding specific key questions developed by the QIPS Committee and working group for this pathway.

Results

Evidence-based recommendations are made for the postoperative care of patients undergoing RYGB, including recommendations for early postoperative care, postoperative medication management, and long-term postoperative surveillance.

Conclusions

This document may provide a structure to providers based on current evidence for the postoperative care of patients with overweight or obesity undergoing RYGB.

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美国代谢与减肥外科学会：Roux-en-Y胃旁路手术的术后护理路径指南。

背景：临床护理路径和指南有助于指导和提供结构的临床医生和提供者，以提高医疗保健服务和质量。美国代谢和减肥外科学会（ASMBS）的质量改进和患者安全（QIPS）委员会之前已经发表了腹腔镜套管胃切除术（LSG）的护理途径，Roux-en-Y胃旁路术（RYGB）患者的术前护理，以及最近RYGB患者的术中护理。目的：本RYGB护理路径指南旨在解决术后护理指导问题。设置：学术健康中心。方法：本系统综述收集了1979年1月至2019年12月期间的PubMed查询。随访时间为2020年1月至2024年7月。根据QIPS委员会和工作组为该途径制定的具体关键问题的证据水平（LoE）对同行评议的出版物进行了审查。结果：对RYGB患者的术后护理提出循证建议，包括术后早期护理、术后用药管理和术后长期监测。结论：本文献可能为目前超重或肥胖患者接受RYGB术后护理的提供者提供一个结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery for Obesity and Related Diseases 医学-外科

CiteScore

6.70

自引率

12.90%

发文量

570

审稿时长

56 days

期刊介绍： Surgery for Obesity and Related Diseases (SOARD), The Official Journal of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Brazilian Society for Bariatric Surgery, is an international journal devoted to the publication of peer-reviewed manuscripts of the highest quality with objective data regarding techniques for the treatment of severe obesity. Articles document the effects of surgically induced weight loss on obesity physiological, psychiatric and social co-morbidities.