Medical news
of the North Caucasus
Scientific journal
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ISSN 2073-8137

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

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.


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Keywords: bariatric surgery, fast track, enhanced recovery

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