First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE
Background Although enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East. Methods A retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastr...
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| Veröffentlicht in: | Obesity surgery 2019-07, Vol.29 (7), p.2100-2109 |
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| creator | Mannaerts, Guido H. H. Allatif, Rowaa E. A. Al Hashmi, Fatima Y. Bhosale, Arati Hammo, Ahmad N. Isied, Sujoud H. Qureshi, Warda A. Al Hamad, Omar S. Kayyal, Yasser Al Afari, Hmouda S. T. |
| description | Background
Although enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East.
Methods
A retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared before introduction of ERABS (2010–2014) and after ERABS (2015–2017) at Tawam Hospital/Johns Hopkins, the UAE.
Results
A total of 462 eligible bariatric patients (LSG 414 and LRYGB 48) were operated on before and 1602 (LSG 1436 and LRYGB 166) after introduction of the ERABS. Significant improvements of mean patient time of the patient being within the OR for LSG (from 2:27 to 1:23 min,
p
= 0.000) and LRYGB (from 3:17 to 1:59 min,
p
= 0.000) were achieved when comparing pre-ERABS with after introduction of ERABS. Furthermore, there was a significant decrease in LOS in both LSG (from 3.2 to 1.5 days,
p
= 0.000) and in LRYGB (from 3.5 to 1.7 days,
p
= 0.000). Major (CD classification III–IV) complications decreased significantly in LSG (from 13.8 to 0.8%,
p
= 0.000) and were similar in LRYGB (from 4.2% to 3.0%,
p
= NS). The readmission rate for LSG (from 2.9 to 2.6%,
p
= NS) or LRYGB (from 0 to 4.8%,
p
= NS) and the reoperation rates after LSG (from 0.7 to 0.5%,
p
= NS) and LRYGB (from 0 to 2.4%,
p
= NS) did not differ between both groups following introduction of ERABS.
Conclusions
Implementation of a standardized ERABS program in the Middle East is feasible and safe and leads to reduced LOS and OR times. |
| doi_str_mv | 10.1007/s11695-019-03841-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2202196520</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2202196520</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-a1f8272eda79ea9a1e0e2dd34d84d3d508852e6018d4e6f573d80bde4f961cb83</originalsourceid><addsrcrecordid>eNp9Uk1vEzEUtBCIhsAf4IAscSkSS23vl7e3NEqboiBQkp5Xjv22cdnYwfaC-Mf8DF5IAIkDpyc9z5sZa4aQl5y944zVF5HzqikzxpuM5bLgWfGIjHjNZMYKIR-TEWsqlslG5GfkWYwPjAleCfGUnOWsyWtZ1yPy49qGmOhq0Bpi7IaeLlS4h2ylVQ_01qXgzaCT9Y76jipHZ26rnAZDl6D9VwjfqeoSBHqlglUpWI1cSID789lycrV6Qz8Ffx_UjlpH0xboB2sMUs9UTJd0jYslxKFPEckNXaAJ7yJOFRyKoOZafcPjuY97m1R_8d5v8X3u95-ti2-pomsIySrUuznYcTtwCKNTHOjqpHk3mT0nTzrVR3hxmmNydz1bT-fZ4uPN7XSyyHRelylTvJOiFmBU3YBqFAcGwpi8MLIwuSmZlKWAinFpCqi6ss6NZBsDRddUXG9kPibnR9598F8GiKnd2aih75UDP8RWCEyhqUrBEPr6H-iDH4JDdwcUL8qGYU5jIo4oHXyMAbp2H-wOP9xy1h560B570GIP2l89aAs8enWiHjY7MH9OfgePgPwIiPjkMK-_2v-h_Qk7Z8AB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2201459009</pqid></control><display><type>article</type><title>First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Mannaerts, Guido H. H. ; Allatif, Rowaa E. A. ; Al Hashmi, Fatima Y. ; Bhosale, Arati ; Hammo, Ahmad N. ; Isied, Sujoud H. ; Qureshi, Warda A. ; Al Hamad, Omar S. ; Kayyal, Yasser ; Al Afari, Hmouda S. T.</creator><creatorcontrib>Mannaerts, Guido H. H. ; Allatif, Rowaa E. A. ; Al Hashmi, Fatima Y. ; Bhosale, Arati ; Hammo, Ahmad N. ; Isied, Sujoud H. ; Qureshi, Warda A. ; Al Hamad, Omar S. ; Kayyal, Yasser ; Al Afari, Hmouda S. T.</creatorcontrib><description>Background
Although enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East.
Methods
A retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared before introduction of ERABS (2010–2014) and after ERABS (2015–2017) at Tawam Hospital/Johns Hopkins, the UAE.
Results
A total of 462 eligible bariatric patients (LSG 414 and LRYGB 48) were operated on before and 1602 (LSG 1436 and LRYGB 166) after introduction of the ERABS. Significant improvements of mean patient time of the patient being within the OR for LSG (from 2:27 to 1:23 min,
p
= 0.000) and LRYGB (from 3:17 to 1:59 min,
p
= 0.000) were achieved when comparing pre-ERABS with after introduction of ERABS. Furthermore, there was a significant decrease in LOS in both LSG (from 3.2 to 1.5 days,
p
= 0.000) and in LRYGB (from 3.5 to 1.7 days,
p
= 0.000). Major (CD classification III–IV) complications decreased significantly in LSG (from 13.8 to 0.8%,
p
= 0.000) and were similar in LRYGB (from 4.2% to 3.0%,
p
= NS). The readmission rate for LSG (from 2.9 to 2.6%,
p
= NS) or LRYGB (from 0 to 4.8%,
p
= NS) and the reoperation rates after LSG (from 0.7 to 0.5%,
p
= NS) and LRYGB (from 0 to 2.4%,
p
= NS) did not differ between both groups following introduction of ERABS.
Conclusions
Implementation of a standardized ERABS program in the Middle East is feasible and safe and leads to reduced LOS and OR times.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-019-03841-4</identifier><identifier>PMID: 30937877</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Bariatric Surgery - adverse effects ; Bariatric Surgery - economics ; Bariatric Surgery - methods ; Bariatric Surgery - rehabilitation ; Cost-Benefit Analysis ; Economics, Hospital ; Enhanced Recovery After Surgery - standards ; Female ; Gastrointestinal surgery ; Hospitals - statistics & numerical data ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - economics ; Laparoscopy - methods ; Laparoscopy - rehabilitation ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Middle East - epidemiology ; Obesity, Morbid - economics ; Obesity, Morbid - epidemiology ; Obesity, Morbid - rehabilitation ; Obesity, Morbid - surgery ; Original Contributions ; Postoperative Care - economics ; Postoperative Care - methods ; Postoperative Care - statistics & numerical data ; Postoperative Complications - economics ; Postoperative Complications - epidemiology ; Program Evaluation ; Reoperation - economics ; Reoperation - statistics & numerical data ; Retrospective Studies ; Sample Size ; Surgery</subject><ispartof>Obesity surgery, 2019-07, Vol.29 (7), p.2100-2109</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Obesity Surgery is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a1f8272eda79ea9a1e0e2dd34d84d3d508852e6018d4e6f573d80bde4f961cb83</citedby><cites>FETCH-LOGICAL-c375t-a1f8272eda79ea9a1e0e2dd34d84d3d508852e6018d4e6f573d80bde4f961cb83</cites><orcidid>0000-0002-2927-6997</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-019-03841-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-019-03841-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30937877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mannaerts, Guido H. H.</creatorcontrib><creatorcontrib>Allatif, Rowaa E. A.</creatorcontrib><creatorcontrib>Al Hashmi, Fatima Y.</creatorcontrib><creatorcontrib>Bhosale, Arati</creatorcontrib><creatorcontrib>Hammo, Ahmad N.</creatorcontrib><creatorcontrib>Isied, Sujoud H.</creatorcontrib><creatorcontrib>Qureshi, Warda A.</creatorcontrib><creatorcontrib>Al Hamad, Omar S.</creatorcontrib><creatorcontrib>Kayyal, Yasser</creatorcontrib><creatorcontrib>Al Afari, Hmouda S. T.</creatorcontrib><title>First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Although enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East.
Methods
A retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared before introduction of ERABS (2010–2014) and after ERABS (2015–2017) at Tawam Hospital/Johns Hopkins, the UAE.
Results
A total of 462 eligible bariatric patients (LSG 414 and LRYGB 48) were operated on before and 1602 (LSG 1436 and LRYGB 166) after introduction of the ERABS. Significant improvements of mean patient time of the patient being within the OR for LSG (from 2:27 to 1:23 min,
p
= 0.000) and LRYGB (from 3:17 to 1:59 min,
p
= 0.000) were achieved when comparing pre-ERABS with after introduction of ERABS. Furthermore, there was a significant decrease in LOS in both LSG (from 3.2 to 1.5 days,
p
= 0.000) and in LRYGB (from 3.5 to 1.7 days,
p
= 0.000). Major (CD classification III–IV) complications decreased significantly in LSG (from 13.8 to 0.8%,
p
= 0.000) and were similar in LRYGB (from 4.2% to 3.0%,
p
= NS). The readmission rate for LSG (from 2.9 to 2.6%,
p
= NS) or LRYGB (from 0 to 4.8%,
p
= NS) and the reoperation rates after LSG (from 0.7 to 0.5%,
p
= NS) and LRYGB (from 0 to 2.4%,
p
= NS) did not differ between both groups following introduction of ERABS.
Conclusions
Implementation of a standardized ERABS program in the Middle East is feasible and safe and leads to reduced LOS and OR times.</description><subject>Adult</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - economics</subject><subject>Bariatric Surgery - methods</subject><subject>Bariatric Surgery - rehabilitation</subject><subject>Cost-Benefit Analysis</subject><subject>Economics, Hospital</subject><subject>Enhanced Recovery After Surgery - standards</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Hospitals - statistics & numerical data</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - economics</subject><subject>Laparoscopy - methods</subject><subject>Laparoscopy - rehabilitation</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Middle East - epidemiology</subject><subject>Obesity, Morbid - economics</subject><subject>Obesity, Morbid - epidemiology</subject><subject>Obesity, Morbid - rehabilitation</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Postoperative Care - economics</subject><subject>Postoperative Care - methods</subject><subject>Postoperative Care - statistics & numerical data</subject><subject>Postoperative Complications - economics</subject><subject>Postoperative Complications - epidemiology</subject><subject>Program Evaluation</subject><subject>Reoperation - economics</subject><subject>Reoperation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Sample Size</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9Uk1vEzEUtBCIhsAf4IAscSkSS23vl7e3NEqboiBQkp5Xjv22cdnYwfaC-Mf8DF5IAIkDpyc9z5sZa4aQl5y944zVF5HzqikzxpuM5bLgWfGIjHjNZMYKIR-TEWsqlslG5GfkWYwPjAleCfGUnOWsyWtZ1yPy49qGmOhq0Bpi7IaeLlS4h2ylVQ_01qXgzaCT9Y76jipHZ26rnAZDl6D9VwjfqeoSBHqlglUpWI1cSID789lycrV6Qz8Ffx_UjlpH0xboB2sMUs9UTJd0jYslxKFPEckNXaAJ7yJOFRyKoOZafcPjuY97m1R_8d5v8X3u95-ti2-pomsIySrUuznYcTtwCKNTHOjqpHk3mT0nTzrVR3hxmmNydz1bT-fZ4uPN7XSyyHRelylTvJOiFmBU3YBqFAcGwpi8MLIwuSmZlKWAinFpCqi6ss6NZBsDRddUXG9kPibnR9598F8GiKnd2aih75UDP8RWCEyhqUrBEPr6H-iDH4JDdwcUL8qGYU5jIo4oHXyMAbp2H-wOP9xy1h560B570GIP2l89aAs8enWiHjY7MH9OfgePgPwIiPjkMK-_2v-h_Qk7Z8AB</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Mannaerts, Guido H. H.</creator><creator>Allatif, Rowaa E. A.</creator><creator>Al Hashmi, Fatima Y.</creator><creator>Bhosale, Arati</creator><creator>Hammo, Ahmad N.</creator><creator>Isied, Sujoud H.</creator><creator>Qureshi, Warda A.</creator><creator>Al Hamad, Omar S.</creator><creator>Kayyal, Yasser</creator><creator>Al Afari, Hmouda S. T.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2927-6997</orcidid></search><sort><creationdate>20190701</creationdate><title>First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE</title><author>Mannaerts, Guido H. H. ; Allatif, Rowaa E. A. ; Al Hashmi, Fatima Y. ; Bhosale, Arati ; Hammo, Ahmad N. ; Isied, Sujoud H. ; Qureshi, Warda A. ; Al Hamad, Omar S. ; Kayyal, Yasser ; Al Afari, Hmouda S. T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a1f8272eda79ea9a1e0e2dd34d84d3d508852e6018d4e6f573d80bde4f961cb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - economics</topic><topic>Bariatric Surgery - methods</topic><topic>Bariatric Surgery - rehabilitation</topic><topic>Cost-Benefit Analysis</topic><topic>Economics, Hospital</topic><topic>Enhanced Recovery After Surgery - standards</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Hospitals - statistics & numerical data</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - economics</topic><topic>Laparoscopy - methods</topic><topic>Laparoscopy - rehabilitation</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Middle East - epidemiology</topic><topic>Obesity, Morbid - economics</topic><topic>Obesity, Morbid - epidemiology</topic><topic>Obesity, Morbid - rehabilitation</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Postoperative Care - economics</topic><topic>Postoperative Care - methods</topic><topic>Postoperative Care - statistics & numerical data</topic><topic>Postoperative Complications - economics</topic><topic>Postoperative Complications - epidemiology</topic><topic>Program Evaluation</topic><topic>Reoperation - economics</topic><topic>Reoperation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Sample Size</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mannaerts, Guido H. H.</creatorcontrib><creatorcontrib>Allatif, Rowaa E. A.</creatorcontrib><creatorcontrib>Al Hashmi, Fatima Y.</creatorcontrib><creatorcontrib>Bhosale, Arati</creatorcontrib><creatorcontrib>Hammo, Ahmad N.</creatorcontrib><creatorcontrib>Isied, Sujoud H.</creatorcontrib><creatorcontrib>Qureshi, Warda A.</creatorcontrib><creatorcontrib>Al Hamad, Omar S.</creatorcontrib><creatorcontrib>Kayyal, Yasser</creatorcontrib><creatorcontrib>Al Afari, Hmouda S. T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mannaerts, Guido H. H.</au><au>Allatif, Rowaa E. A.</au><au>Al Hashmi, Fatima Y.</au><au>Bhosale, Arati</au><au>Hammo, Ahmad N.</au><au>Isied, Sujoud H.</au><au>Qureshi, Warda A.</au><au>Al Hamad, Omar S.</au><au>Kayyal, Yasser</au><au>Al Afari, Hmouda S. T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>29</volume><issue>7</issue><spage>2100</spage><epage>2109</epage><pages>2100-2109</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Although enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East.
Methods
A retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared before introduction of ERABS (2010–2014) and after ERABS (2015–2017) at Tawam Hospital/Johns Hopkins, the UAE.
Results
A total of 462 eligible bariatric patients (LSG 414 and LRYGB 48) were operated on before and 1602 (LSG 1436 and LRYGB 166) after introduction of the ERABS. Significant improvements of mean patient time of the patient being within the OR for LSG (from 2:27 to 1:23 min,
p
= 0.000) and LRYGB (from 3:17 to 1:59 min,
p
= 0.000) were achieved when comparing pre-ERABS with after introduction of ERABS. Furthermore, there was a significant decrease in LOS in both LSG (from 3.2 to 1.5 days,
p
= 0.000) and in LRYGB (from 3.5 to 1.7 days,
p
= 0.000). Major (CD classification III–IV) complications decreased significantly in LSG (from 13.8 to 0.8%,
p
= 0.000) and were similar in LRYGB (from 4.2% to 3.0%,
p
= NS). The readmission rate for LSG (from 2.9 to 2.6%,
p
= NS) or LRYGB (from 0 to 4.8%,
p
= NS) and the reoperation rates after LSG (from 0.7 to 0.5%,
p
= NS) and LRYGB (from 0 to 2.4%,
p
= NS) did not differ between both groups following introduction of ERABS.
Conclusions
Implementation of a standardized ERABS program in the Middle East is feasible and safe and leads to reduced LOS and OR times.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30937877</pmid><doi>10.1007/s11695-019-03841-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2927-6997</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2019-07, Vol.29 (7), p.2100-2109 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2202196520 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Bariatric Surgery - adverse effects Bariatric Surgery - economics Bariatric Surgery - methods Bariatric Surgery - rehabilitation Cost-Benefit Analysis Economics, Hospital Enhanced Recovery After Surgery - standards Female Gastrointestinal surgery Hospitals - statistics & numerical data Humans Laparoscopy Laparoscopy - adverse effects Laparoscopy - economics Laparoscopy - methods Laparoscopy - rehabilitation Male Medicine Medicine & Public Health Middle Aged Middle East - epidemiology Obesity, Morbid - economics Obesity, Morbid - epidemiology Obesity, Morbid - rehabilitation Obesity, Morbid - surgery Original Contributions Postoperative Care - economics Postoperative Care - methods Postoperative Care - statistics & numerical data Postoperative Complications - economics Postoperative Complications - epidemiology Program Evaluation Reoperation - economics Reoperation - statistics & numerical data Retrospective Studies Sample Size Surgery |
| title | First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T23%3A53%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=First%20Successful%20Large-Scale%20Introduction%20of%20an%20Enhanced%20Recovery%20after%20Bariatric%20Surgery%20(ERABS)%20Program%20in%20the%20Middle%20East:%20The%20Results%20and%20Lessons%20Learned%20of%20Tawam%20Hospital/Johns%20Hopkins,%20a%20Tertiary%20Governmental%20Center%20in%20the%20UAE&rft.jtitle=Obesity%20surgery&rft.au=Mannaerts,%20Guido%20H.%20H.&rft.date=2019-07-01&rft.volume=29&rft.issue=7&rft.spage=2100&rft.epage=2109&rft.pages=2100-2109&rft.issn=0960-8923&rft.eissn=1708-0428&rft_id=info:doi/10.1007/s11695-019-03841-4&rft_dat=%3Cproquest_cross%3E2202196520%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2201459009&rft_id=info:pmid/30937877&rfr_iscdi=true |