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Document Type

Original Article

Abstract

Background: Overweight and obese are linked to a significant increase in the type2 DM, Hypertension, Cardiovascular disease, NASH, Gallbladder diseases, sleep apnea syndrome, arthritis, several tumors, and GERD. Weight loss surgery is referred to as bariatric surgery. The four most popular bariatric surgical methods are adjustable gastric banding (AGB), gastric bypass, sleeve gastrectomy (SG) (5), and sleeve gastrectomy with sleeve irradiation (SASI). A Fast Track Pathway is a multidisciplinary technique to improve postoperative recovery and decrease morbidity by decreasing surgical stress and its repercussions. Stress-Free surgery Aim: Evaluating applications of a Fast Track Protocol in bariatric surgery in order to reduce surgical preoperative stress and incidence of postoperative problems, hence accelerating postoperative recovery. Subject and Methods: A descriptive study included 50 cases, at the General Surgery Department of Al-Azhar University Hospitals (El Hussein and Sayed Galal) and other hospitals. Results: The overall patient satisfaction rate was 80%. Satisfaction was classified according to 5-point Likert scale. Twenty-seven (54%) patients were very satisfied. Statistics show a dramatic decline in albumin level postoperatively. The mean WBC count increased significantly to 10.1 ± 1.8 x109/L. The most common late postoperative complication was dysphagia, followed by dilatation and reflux. Conclusion: Patients receiving LRYGB and LAGB can have their perioperative care accelerated. It has been shown through a review of the relevant literature that mortality, complication, and readmission rates can be reduced to levels comparable to those reached with traditional target LOS

Keywords

Obesity, Bariatric surgery, Fast-track Protocol

Subject Area

General Surgery

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