IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i19p6899-d1255520.html
   My bibliography  Save this article

Perioperative Nutritional Management in Enhanced Recovery after Bariatric Surgery

Author

Listed:
  • Giovanna Flore

    (Obesity Unit, Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy
    These authors contributed equally to the work.)

  • Andrea Deledda

    (Obesity Unit, Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy
    These authors contributed equally to the work.)

  • Michele Fosci

    (Obesity Unit, Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy)

  • Mauro Lombardo

    (Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, Via di Val Cannuta, 247, 00166 Rome, Italy)

  • Enrico Moroni

    (Obesity Surgery Unit, Department of Surgery, Azienda di Rilievo Nazionale ed Alta Specializzazione G. Brotzu, 09134 Cagliari, Italy)

  • Stefano Pintus

    (Obesity Surgery Unit, Department of Surgery, Azienda di Rilievo Nazionale ed Alta Specializzazione G. Brotzu, 09134 Cagliari, Italy)

  • Fernanda Velluzzi

    (Obesity Unit, Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy)

  • Giovanni Fantola

    (Obesity Surgery Unit, Department of Surgery, Azienda di Rilievo Nazionale ed Alta Specializzazione G. Brotzu, 09134 Cagliari, Italy)

Abstract

Obesity is a crucial health problem because it leads to several chronic diseases with an increased risk of mortality and it is very hard to reverse with conventional treatment including changes in lifestyle and pharmacotherapy. Bariatric surgery (BS), comprising a range of various surgical procedures that modify the digestive tract favouring weight loss, is considered the most effective medical intervention to counteract severe obesity, especially in the presence of metabolic comorbidities. The Enhanced Recovery After Bariatric Surgery (ERABS) protocols include a set of recommendations that can be applied before and after BS. The primary aim of ERABS protocols is to facilitate and expedite the recovery process while enhancing the overall effectiveness of bariatric procedures. ERABS protocols include indications about preoperative fasting as well as on how to feed the patient on the day of the intervention, and how to nourish and hydrate in the days after BS. This narrative review examines the application, the feasibility and the efficacy of ERABS protocols applied to the field of nutrition. We found that ERABS protocols, in particular not fasting the patient before the surgery, are often not correctly applied for reasons that are not evidence-based. Furthermore, we identified some gaps in the research about some practises that could be implemented in the presence of additional evidence.

Suggested Citation

  • Giovanna Flore & Andrea Deledda & Michele Fosci & Mauro Lombardo & Enrico Moroni & Stefano Pintus & Fernanda Velluzzi & Giovanni Fantola, 2023. "Perioperative Nutritional Management in Enhanced Recovery after Bariatric Surgery," IJERPH, MDPI, vol. 20(19), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:19:p:6899-:d:1255520
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/19/6899/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/19/6899/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Andrea Deledda & Stefano Pintus & Andrea Loviselli & Michele Fosci & Giovanni Fantola & Fernanda Velluzzi, 2021. "Nutritional Management in Bariatric Surgery Patients," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    2. Lyrics Noba & Ann Wakefield, 2019. "Are carbohydrate drinks more effective than preoperative fasting: A systematic review of randomised controlled trials," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3096-3116, September.
    3. Mauro Lombardo & Arianna Franchi & Roberto Biolcati Rinaldi & Gianluca Rizzo & Monica D’Adamo & Valeria Guglielmi & Alfonso Bellia & Elvira Padua & Massimiliano Caprio & Paolo Sbraccia, 2021. "Long-Term Iron and Vitamin B12 Deficiency Are Present after Bariatric Surgery, despite the Widespread Use of Supplements," IJERPH, MDPI, vol. 18(9), pages 1-9, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ngan Thi Kim Nguyen & Nguyen-Phong Vo & Shih-Yi Huang & Weu Wang, 2022. "Fat-Free Mass and Skeletal Muscle Mass Gain Are Associated with Diabetes Remission after Laparoscopic Sleeve Gastrectomy in Males but Not in Females," IJERPH, MDPI, vol. 19(2), pages 1-11, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:19:p:6899-:d:1255520. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.