ArticleObesity surgery2026
Enhanced Recovery for Patients Undergoing Metabolic Bariatric Surgery in a Community Hospital: A Retrospective Pre-Post Quality Improvement Study.
Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundA standardized, multimodal Enhanced Recovery After Surgery (ERAS) protocol was implemented to improve postoperative outcomes in patients undergoing metabolic bariatric surgery (MBS). This quality improvement initiative evaluated the impact of a standardized, multimodal ERAS protocol on postoperative outcomes in MBS patients. Implemented at a community hospital where perioperative practices were inconsistent, this evidence-based pathway introduced a structured approach to perioperative care to enhance recovery and promote safer, more efficient outcomes.
methodsA pre- and post-quality improvement study was conducted among adults undergoing MBS at a Midwestern community hospital following implementation of a structured ERAS protocol. Patients younger than 18 years and those with long-term opioid use were excluded. The Model for Evidence-Based Practice Change guided protocol development and implementation. Pre-implementation and post-implementation cohorts were compared across primary endpoints, including PONV incidence, opioid consumption, and length of stay (LOS). Mann-Whitney U tests, and chi-square or Fisher's exact tests were used (p < .05).
resultsERAS implementation resulted in a significant reduction in postoperative opioid use (Mdn = 22.5 vs. 80.0 MME; U = 143.50, p < .001). No significant differences were observed in PONV or LOS between groups. Protocol adherence was high (89.4%).
conclusionA structured, multimodal ERAS protocol was an effective quality improvement strategy for patients undergoing MBS at a community hospital. Standardizing perioperative care was associated with a significant reduction in opioid requirements without increasing PONV or LOS, supporting broader adoption of ERAS pathways in bariatric surgery programs.
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