This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Robert B Lim during the Evidence Based Pathways in Bariatrics: Are You in Step with the Best on April 14 2018
Keyword(s): active duty, ambulation, ambulatory, American Chest Physicians, anastomosis, anesthesia, aspiration, bariatrics, behavior modification, bleeding, brittle diabetic, Bupivicaine, carbohydrate, chemoprophylaxis, comparison studies, compliance, complication rates, complications, cost, data, decadron, diabetes, diabetic, drainage, early discharge, ED visits, education, elective surgery, emergency department visits, endoscopy, ERAS protocol, evidence based pathways, Exparel, filters, gabapentin, high risk, hypertension, infection, insulin sensitivity, intraoperative, Jackson Pratt, JP drain, leak test, length of stay, literature, LOS, MBSAQIP, meta-analysis, military, military hospital, mobilization, narcotic use, nausea, nurse, nutrition, obstructive sleep apnea, operative time, opioid use, OSA, pain, pain control, patient controlled analgesia, patient safety, payment, PCA morphine, periopertive, PONV, postoperative, postoperative nausea & vomiting, PPI, proton pump inhibitors, psychological, psychologist, readmission, reduced fasting time, reoperation, resection, revision, Roux-en-Y gastric bypass, RYGB, single institution, SMART, staff, supine, swallow study, thromboemobolism, Toradol, ulcer prophylaxis, venous thromboembolism, VTE prophylaxis, weight loss
Hx–1:12
Preop bariatric pathway–3:24
Periop controversies–4:23
Reduced fasting time–4:46
Intraop endoscopy leak test–6:12
Routine swallow study–6:53
Routine drainage–7:55
VTE prophylaxis–8:47
High risk for VTE–9:29
Routine chemoprophylaxis dilemma–9:52
Ulcer prophylaxis–10:37
Pain control–11:06
SAGES SMART bariatric enhanced recovery pathway--12:27
ERAS summary–12:52
Key lessons–13:40
Discharge meds–14:04
Military pathways–15:26
Conclusion–15:51
References–15:53Â J Gastrointest Surg 2018
Curr Opin Clin Nutr Metab Care 2001