Barriers to Enhanced Recovery after Surgery after Laparoscopic Sleeve Gastrectomy

Enhanced Recovery after Surgery (ERAS) protocols lead to expedited discharges and decreased cost. Bariatric centers have adopted such programs for safely discharging patients after sleeve gastrectomy (LSG) on the first postoperative day (POD1), however this cannot be achieved in all patients.

In a retrospective review of patients undergoing LSG, from 2013 through 2016, using a standardized enhanced recovery pathway, treated OSA was associated with earlier hospital discharge. Understanding clinical and operative factors that enhance the success of ERAS as well as the causes and corrections for failed implementation allow teams to optimally direct care pathway resources.