American Society for Metabolic and Bariatric Surgery: postoperative care pathway guidelines for Roux-en-Y gastric bypass

IF 3.5 3区医学 Q1 SURGERY

Surgery for Obesity and Related Diseases Pub Date : 2025-01-24 DOI:10.1016/j.soard.2025.01.005

Michael A. Edwards M.D. , Kinga Powers M.D. , R. Wesley Vosburg M.D. , Randal Zhou M.D. , Andrea Stroud M.D. , Nabeel R. Obeid M.D. , John Pilcher M.D. , Shauna Levy M.D. , Karina McArthur M.D. , Givi Basishvili , Amy Rosenbluth , Anthony Petrick , Henry Lin M.D. , Tammy Kindel M.D., Ph.D.

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引用次数: 0

Abstract

Background

Clinical care pathways and guidelines help guide and provide structure to clinicians and providers to improve healthcare delivery and quality. The Quality Improvement and Patient Safety (QIPS) Committee of the American Society for Metabolic and Bariatric Surgery (ASMBS) has previously published care pathways for the performance of laparoscopic sleeve gastrectomy (LSG), preoperative care of patients undergoing Roux-en-Y gastric bypass (RYGB), and most recently, intraoperative care of patients undergoing RYGB.

Objectives

This current RYGB care pathway guideline was created to address postoperative care guidance.

Setting

Academic Health Center.

Methods

For this systematic review, PubMed queries were performed from January 1979 to December 2019. Follow-up queries were performed from January 2020 to July 2024. Peer-reviewed publications were reviewed according to the level of evidence (LoE) regarding specific key questions developed by the QIPS Committee and working group for this pathway.

Results

Evidence-based recommendations are made for the postoperative care of patients undergoing RYGB, including recommendations for early postoperative care, postoperative medication management, and long-term postoperative surveillance.

Conclusions

This document may provide a structure to providers based on current evidence for the postoperative care of patients with overweight or obesity undergoing RYGB.

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来源期刊

Surgery for Obesity and Related Diseases 医学-外科

CiteScore

6.70

自引率

12.90%

发文量

570

审稿时长

56 days

期刊介绍： Surgery for Obesity and Related Diseases (SOARD), The Official Journal of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Brazilian Society for Bariatric Surgery, is an international journal devoted to the publication of peer-reviewed manuscripts of the highest quality with objective data regarding techniques for the treatment of severe obesity. Articles document the effects of surgically induced weight loss on obesity physiological, psychiatric and social co-morbidities.