减重手术围手术期护理指南：术后加速康复（ERAS）学会推荐意见：2021年更新版
Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update.
作者信息
Stenberg Erik, Dos Reis Falcão Luiz Fernando, O'Kane Mary, Liem Ronald, Pournaras Dimitri J, Salminen Paulina, Urman Richard D, Wadhwa Anupama, Gustafsson Ulf O, Thorell Anders
机构信息
Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Discipline of Anesthesia, Pain and Critical Care Medicine, Federal University of São Paulo, São Paulo, Brazil.
出版信息
World J Surg. 2022 Apr;46(4):729-751. doi: 10.1007/s00268-021-06394-9. Epub 2022 Jan 4.
BACKGROUND
This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol.
METHODS
A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations.
RESULTS
The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence-based practices may need to be extrapolated from other surgeries.
CONCLUSION
A comprehensive, updated evidence-based consensus was reached and is presented in this review by the ERAS® Society.
背景
这是第二版更新的术后加速康复（ERAS®）学会指南，提出了肥胖症手术围手术期最佳护理的共识，并为ERAS®方案中的每个ERAS项目提供了建议。
方法
通过检索截至2020年12月的Pubmed、EMBASE、Cochrane数据库和ClinicalTrials.gov进行主要文献检索，特别关注荟萃分析、随机对照试验和大型前瞻性队列研究。根据推荐分级、评估、制定和评价（GRADE）系统对选定的研究进行检查、评审和分级。在对这些研究进行严格评估后，作者团队就建议达成了共识。
结果
在肥胖症手术中，许多ERAS干预措施的证据质量仍然相对较低，可能需要从其他手术中推断出循证实践。
结论
ERAS®学会在本综述中达成并提出了全面、更新的循证共识。
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