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- Title
Four-Year Evolution of a Thrombophylaxis Protocol in an Enhanced Recovery After Surgery (ERAS) Program: Recent Results in 485 Patients.
- Authors
Blanchet, Marie-Cécile; Frering, Vincent; Gignoux, Benoît; Matussière, Yann; Oudar, Philippe; Noël, Romain; Mirabaud, Alban
- Abstract
“Enhanced recovery after surgery” (ERAS) protocols may reduce morbidity, length of hospital stay (LOS), and costs. During the 4-year evolution of a bariatric ERAS protocol, we found that administration of thrombophylaxis selectively to high-risk morbidly obese patients (assessed postoperatively by Caprini score ≥ 3) undergoing omega loop gastric bypass (“mini” gastric bypass) or sleeve gastrectomy resulted in safe outcomes. Both procedures proved equally effective with this protocol. The vast majority of rapidly mobilized, low-risk patients did not appear to require antithrombotic heparin. Similar to other reported ERAS outcomes, our recent year’s results in 485 patients included a mean LOS of 1.08 ± 0.64 days (range 1-14), with 460 (95.0%) discharged on day 1 and 99.6% by day 2. There were 13 30-day complications (2.7%), two reinterventions (0.4%), and no hemorrhages.
- Subjects
BARIATRIC surgery; HYPERCOAGULATION disorders; LENGTH of stay in hospitals; VENOUS thrombosis prevention; OVERWEIGHT persons; GASTRIC bypass; MORBID obesity; HEALTH outcome assessment; DISEASE risk factors
- Publication
Obesity Surgery, 2018, Vol 28, Issue 7, p2140
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-018-3299-4