logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 8652 352524; +7 8652 353229.

Fax
+7 8652 352524.

E-mail
medvestnik@stgmu.ru

Enhanced recovery after surgery in patients with body mass index over 50

[Surgery]
Bekhan Khatsiev; Nauruz Uzdenov; Alexander Kuzminov;

50 patients were included in the study. They were divided according to body mass index (BMI) into two groups: 15 patients with BMI over 50 and 35 patients with BMI below 50. Sleeve gastrectomy for morbid obesity was performed in all patients. Mean operative time was 90±33 minutes in low BMI group and 124±36 minutes in high BMI group (p<0.01). Postoperative management did not differ between groups.

Complications occurred in 2 (13.3%) patients with BMI>50 and in 4 (11.4%) patients with BMI<50, p>0.05. Mortality was zero in both groups. Mean postoperative in-hospital time was 2.2±0.9 (1 to 4) days in high BMI group and 3.0±2.0 (1 to 9) days in low BMI group, p>0.05.

Results of enhanced recovery methods did not revealed any significant differences between high and low BMI groups. We think that results could be implemented in bariatric surgery; however, enhanced recovery for super-obese patients in other non-bariatric procedures needs further investigation.

Download

References:
1. Clavien P. A., Barkun J., De Oliveira M. L., Vauthey J. N., Dindo D., Schulick R. D., De Santibanes E., Pekolj J., Slankamenac K., Bassi C., Graf R., Vonlanthen R., Padbury R., Cameron J. L., Makuuchi M. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 2009;250(2):187-196.
2. Elliott J. A., Patel V. M., Kirresh A., Ashrafian H., Le Roux C. W., Olbers T., Athanasiou T., Zacharakis E. Fast-track laparoscopic bariatric surgery: a systematic review. Updates Surg. 2013;65(2):85-94.
3. Hoffmann H., Kettelhack C. Fast-track surgeryconditions and challenges in postsurgical treatment: a review of elements of translational research in enhanced recovery after surgery. Eur Surg. Res. 2012;49(1):24-34.
4. Khatsiev B. B., Kuzminov A. N. Sleeve gastrectomy for morbid obesity – regional experience. Meditsinskii Vestnik Severnogo Kavkaza. – Medical News of North Caucasus. 2014;9(2):109-111. doi:10.14300/mnnc.2014.09033
5. Lemanu D. P., Srinivasa S., Singh P. P., Johannsen S., Maccormick A. D., Hill A.G. Optimizing perioperative care in bariatric surgery patients. Obes. Surg. 2012;22(6):979-990.
6. Lv L., Shao Y. F., Zhou Y. B. The enhanced recovery after surgery (ERAS) pathway for patients undergoing colorectal surgery: an update of meta-analysis of randomized controlled trials. Int. J. Colorectal. Dis. 2012;27(12):1549-1554.
7. Spanjersberg W. R., Reurings J., Keus F., Van Laarhoven C. J. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst. Rev. 2011;(2):CD007635.
8. Varadhan K. K., Neal K. R., Dejong C. H., Fearon K. C., Ljungqvist O., Lobo D.N. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a metaanalysis of randomized controlled trials. Clin. Nutr. 2010;29(4):434-440.

Keywords: bariatric surgery, fast track, enhanced recovery


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy