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. 2018 Jul;28(7):2140-2144.
doi: 10.1007/s11695-018-3299-4.

Four-Year Evolution of a Thrombophylaxis Protocol in an Enhanced Recovery After Surgery (ERAS) Program: Recent Results in 485 Patients

Marie-Cécile Blanchet  1   2 , Vincent Frering  3 , Benoît Gignoux  3 , Yann Matussière  3 , Philippe Oudar  3 , Romain Noël  3   4 , Alban Mirabaud  3   4
Affiliations

Four-Year Evolution of a Thrombophylaxis Protocol in an Enhanced Recovery After Surgery (ERAS) Program: Recent Results in 485 Patients

Marie-Cécile Blanchet et al. Obes Surg. 2018 Jul.

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.

Keywords: Bariatric; ERAS; Enhanced recovery after surgery; LSG; MGB; Omega loop; Sleeve gastrectomy.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Evolution of trends in mean length of stay (LOS) of our center’s bariatric ERAS series from 2012 to 2016
See this image and copyright information in PMC

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