International Journal of Environmental Research and Public Health · 8 authors, 3 centres
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This narrative review examines the application, feasibility, and efficacy of Enhanced Recovery After Bariatric Surgery (ERABS) protocols focused on nutrition, such as avoiding preoperative fasting and early postoperative feeding. It found that these evidence-based protocols are often not correctly applied in clinical practice for reasons that are not evidence-based.
This narrative review analyzed literature on perioperative nutritional care within Enhanced Recovery After Bariatric Surgery (ERABS) protocols. The methods included a search of PubMed, Web of Science, and Cochrane databases, with 107 articles undergoing core review. The central finding is that ERABS recommendations, such as avoiding preoperative fasting (AF), preoperative carbohydrate loading (PreCL), and early postoperative oral feeding (EOF), are frequently not implemented correctly despite varying levels of supporting evidence. The review discusses that barriers include non-evidence-based clinical practices, logistical issues, and patient misunderstandings. The limitations noted include the inclusion of observational studies due to a scarcity of well-designed trials on the topic. The implications are that implementing ERABS protocols should be supported to improve patient recovery, reduce complications, and decrease stress and anxiety following bariatric surgery.
