<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2020000200194</article-id>
<article-id pub-id-type="doi">10.24875/ciru.19001199</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Enhanced recovery after bariatric surgery: Implementation of program and clinical outcomes from a bariatric surgery and metabolic diseases reference center]]></article-title>
<article-title xml:lang="es"><![CDATA[Recuperación mejorada tras cirugía bariátrica: aplicabilidad y resultados clínicos en un centro de referencia de cirugía bariátrica y enfermedades metabólicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gálvez-Gallo]]></surname>
<given-names><![CDATA[Griselda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plascencia-Posada]]></surname>
<given-names><![CDATA[Francisco J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas-Figueroa]]></surname>
<given-names><![CDATA[José A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Álvarez]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Gómez]]></surname>
<given-names><![CDATA[José A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo-Vázquez]]></surname>
<given-names><![CDATA[Carlos A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente Clínica de Cirugía Bariátrica y Enfermedades Metabólicas]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>2</numero>
<fpage>194</fpage>
<lpage>199</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000200194&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000200194&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000200194&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Enhanced recovery after bariatric surgery (ERABS) protocols involve a series of multimodal perioperative procedures based on evidence designed to reduce physiological stress, improve recovery, and reduce costs on medical attention by decreasing length of hospital stay (length of stay [LOS]).  Objective: The objective of the study was to report the viability and results of the ERABS application in a reference bariatric center.  Materials and methods: A prospective, observational, and descriptive study on bariatric procedures conducted over 12 months in the ERABS context which includes pre-procedure, intraprocedure, and post-procedure measures. The collected data include demographic data, comorbidity, morbimortality, LOS, and readmission to hospital.  Results: Sixty-four patients within a median of 38.8 ± 9.5 years and 44.1 ± 6.20 kg/m2 BMI underwent surgery. Fifty-five (85.93%) were Roux-en-Y gastric bypass (RYGB) cases and 9 (14.06%) were sleeve gastrectomy (SG). Related comorbidities were hypertension 37%, diabetes 34%, dyslipidemia 23%, and obstructive sleep apnea 21%. Two (3.12%) patients developed post-operative morbidity (respiratory and thromboembolic complications). LOS for RYGB was 1.16 ± 0.97 and 1 ± 0 days for SG. The successful discharge rate on the 1st day after procedure was 96% and 100%, respectively. Readmission to hospital within a 30-day period presented itself on 4 patients (6.25%).  Conclusion: Applying ERABS protocols is feasible, safe, morbidity low, LOS acceptable, and a low readmission rate within 30 days.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: Los protocolos de recuperación mejorada tras cirugía bariátrica (ERABS, Enhanced Recovery After Bariatric Surgery) implican intervenciones perioperatorias multimodales basadas en la evidencia diseñadas para reducir el estrés fisiológico, facilitar el retorno temprano de la función corporal y reducir los costos de atención médica al disminuir la duración de la estancia intrahospitalaria.  Objetivo: Reportar la viabilidad y los resultados de la utilización de ERABS en un centro bariátrico de referencia.  Método: Estudio prospectivo, observacional y descriptivo de procedimientos bariátricos realizados durante 12 meses en contexto ERABS, que incluyó medidas preoperatorias, intraoperatorias y posoperatorias. Los datos recopilados fueron demografía, comorbilidad, morbimortalidad, estancia intrahospitalaria y reingresos.  Resultados: 64 pacientes, edad 38.8 ± 9.5 años, índice de masa corporal 44.1 ± 6.20 kg/m2, 55 (85.93%) bypass gástricos en Y de Roux (BGYR) y 9 (14.06%) mangas gástricas. Comorbilidad: hipertensión 37%, diabetes 34%, dislipidemia 23% y apnea obstructiva 21%. Dos (3.12%) pacientes desarrollaron morbilidad posoperatoria (complicaciones respiratorias y tromboembólicas). La estancia intrahospitalaria para el BGYR fue de 1.16 ± 0.97 días y para la manga 1 ± 0 días. El alta exitosa al primer día posoperatorio fue del 96% para el BGYR y del 100% para la manga. El reingreso hospitalario a 30 días se produjo en cuatro (6.25%) pacientes.  Conclusión: La aplicación de protocolos ERABS es factible, segura, de baja morbilidad, con una estancia intrahospitalaria aceptable y una baja tasa de reingresos a 30 días.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Morbid obesity]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic bariatric surgery]]></kwd>
<kwd lng="en"><![CDATA[Enhanced recovery after surgery]]></kwd>
<kwd lng="en"><![CDATA[Morbimortality]]></kwd>
<kwd lng="en"><![CDATA[Length of hospital stay]]></kwd>
<kwd lng="en"><![CDATA[Readmission]]></kwd>
<kwd lng="es"><![CDATA[Obesidad mórbida]]></kwd>
<kwd lng="es"><![CDATA[Cirugía bariátrica laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[Recuperación mejorada tras la cirugía]]></kwd>
<kwd lng="es"><![CDATA[Morbimortalidad]]></kwd>
<kwd lng="es"><![CDATA[Estancia intrahospitalaria]]></kwd>
<kwd lng="es"><![CDATA[Reingresos]]></kwd>
</kwd-group>
</article-meta>
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