PDF(Pubmed)
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.
摘要：
肥胖是一个至关重要的健康问题，因为它导致几种慢性疾病，死亡率增加，并且很难通过常规治疗（包括改变生活方式和药物治疗）来逆转。减肥手术（BS），包括一系列改变消化道有利于减肥的外科手术，被认为是对抗严重肥胖的最有效的医疗干预措施，尤其是在存在代谢合并症的情况下。减重手术后增强恢复（ERABS）协议包括一组可以在BS之前和之后应用的建议。ERABS方案的主要目的是促进和加快恢复过程，同时提高减肥程序的整体有效性。ERABS协议包括有关术前禁食以及如何在干预当天喂养患者的适应症。以及如何在BS后的日子里滋养和水合。这篇叙述性评论检查了申请，ERABS方案应用于营养领域的可行性和有效性。我们发现ERABS协议,特别是在手术前不要禁食病人，通常由于不基于证据的原因而无法正确应用。此外，我们在研究中发现了一些在存在其他证据的情况下可以实施的实践的差距。
