AB044. SOH24AB_265. Bariatric surgery outcomes in the national bariatric centre following implementation of enhanced recovery after bariatric surgery protocol
Clinical Gastrointestinal Session

AB044. SOH24AB_265. Bariatric surgery outcomes in the national bariatric centre following implementation of enhanced recovery after bariatric surgery protocol

Julie-Therese Clifford, Odhran Ryan, Mark Donnelly, Ola Ahmed, Naomi Fearon, Helen Heneghan

Department of Surgery, St. Vincent’s University Hospital, Dublin, Ireland

Background: Obesity is a complex, progressive & relapsing chronic disease associated with significant morbidity & mortality. Bariatric surgery remains the single most efficacious treatment for obesity. Through the implementation of enhanced recovery after bariatric surgery (ERABS) protocol we have decreased waiting times and increased capacity within the hospital group.

Methods: Data pertaining to bariatric procedures performed over a 7-year period was collected prospectively at pre-operative clinics, and post-operative outcomes were recorded at time of discharge, 3, 6 and 12 months post-operatively in outpatient clinics.

Results: Data from over 800 bariatric procedures since 2017 were obtained. The majority of patients were female. The mean weight of patients was 146.6±33.8 kg, and a mean body mass index (BMI) of 52±9 kg/m2. Bariatric procedures performed included sleeve gastrectomy, single anastomosis gastric bypass, and Roux-en-Y gastric bypass. Since the implementation of the ERABS protocol, mortality (0%), transfer to intensive care unit (ICU) (0.4%), and conversion to open (1%) are lower than international standards. Readmission, re-operation, morbidity, and length of stay are comparable with international standards.

Conclusions: Implementing an ERABS protocol is safe and feasible, and has facilitated improved peri and post-operative outcomes. The ERABS protocol has also enabled the performing of bariatric surgery at a model 2 hospital, increasing capacity and decreasing waiting times within our hospital group, without compromising surgical safety or quality.

Keywords: Bariatric surgery; enhanced recovery after bariatric surgery (ERABS); obesity; bypass; sleeve gastrectomy

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab044
Cite this abstract as: Clifford JT, Ryan O, Donnelly M, Ahmed O, Fearon N, Heneghan H. AB044. SOH24AB_265. Bariatric surgery outcomes in the national bariatric centre following implementation of enhanced recovery after bariatric surgery protocol. Mesentery Peritoneum 2024;8:AB044.

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