Fast Track Care for Gastric Bypass Patients Decreases Length of Stay Without Increasing Complications in an UnselectedPatient Cohort

Background Retrospective studies investigating fast track care involve selected patients. This study evaluates the implementation of fast track care in unselected bariatric patients in a high volume teaching hospital in the Netherlands. Methods Consecutive patients who underwent a primary laparoscopic gastric bypass in our center were reviewed in the years before ( n = 104) and after implementation of fast track care ( n = 360). Fast track involved the banning of tubes/catheters, anesthetic management and early ambulation. Primary outcome was the length of stay. Perioperative times, complications (