SS CHIRURGIA BARIATRICA E METABOLICA

Responsabile Dott. Paolo Millo

Enhanced Recovery After Surgery (ERAS)

Protocol

Aosta experience

1999-2012 703 bariatric procedures

BIB, Pacing,Banding

VBGGBPBPD

SleeveRedo Surgery

90% laparoscopy

Aosta experience

Day -1 recoveryDay 0 interventionDay 1 XRay for SAGB

iv fluid for Sleeve and GBPDay 2 Discharge for SAGB

Xray for SL eand GBPDay 3/4 nutritional counseling

fluid oral intake Day 5 discharge

Phone call every day for 3 days

1° Wednesday after discharge : consultationDay 30 consultationFU by guidelines

Aosta experience

13,8

12,511,6

13,2

11,2

9,910,7

12,9

11,1

17,3

12,4

17,6

14,1

7,8

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degenza media

1999-2012

Hospital stay 1999-2011: 12.9 daysFast trac in 2012: 7.8 days

- 5.1 days