Gu YX, Wang XY, Chen Y, Shao JX, Ni SX, Zhang XM, Shao SY, Zhang Y, Hu WJ, Ma YY, Liu MY, Yu H. Optimizing surgical outcomes for elderly gallstone patients with a high body mass index using enhanced recovery after surgery protocol. World J Gastrointest Surg 2023; 15(10): 2191-2200 [PMID: 37969721 DOI: 10.4240/wjgs.v15.i10.2191]
Corresponding Author of This Article
Hua Yu, MM, Associate Chief Physician, Department of General Surgery, Shanghai Fourth People’s Hospital School of Medicine Tongji University, No. 1279 Sanmen Road, Hongkou District, Shanghai 200434, China. luckyyuhua@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yue-Xia Gu, Shen-Xian Ni, Xiu-Mei Zhang, Si-Yu Shao, Yu Zhang, Wen-Jing Hu, Department of Nursing, Shanghai Fourth People’s Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China
Xin-Yu Wang, Yang Chen, Hua Yu, Department of General Surgery, Shanghai Fourth People’s Hospital School of Medicine Tongji University, Shanghai 200434, China
Jun-Xiu Shao, Ying-Ying Ma, Meng-Yao Liu, Department of Nursing, Shanghai Xuhui Central Hospital, Shanghai 200031, China
Author contributions: Gu YX and Wang XY contributed equally in analysis of the data and writing of the manuscript; Yu H designed the study; Chen Y, Shao JX, Ni SX, Zhang XM, Shao SY, Zhang Y, Hu WJ, Ma YY, and Liu MY collected the data and corrected the paper; all authors have read and approved the final manuscript.
Supported bythe Hongkou District Health Committee, No. Hong Wei 2002-08; and Discipline Promotion Program of Shanghai Fourth People's Hospital, No. SY-XKZT-2020-1021.
Institutional review board statement: The study was reviewed and approved by the Shanghai Fourth People’s Hospital Institutional Review Board (Approval No. 2019047).
Informed consent statement: Patients were not required to give informed consent to the study because it is a retrospective study and the data came from electronic medical records in the hospital.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua Yu, MM, Associate Chief Physician, Department of General Surgery, Shanghai Fourth People’s Hospital School of Medicine Tongji University, No. 1279 Sanmen Road, Hongkou District, Shanghai 200434, China. luckyyuhua@163.com
Received: May 27, 2023 Peer-review started: May 27, 2023 First decision: June 14, 2023 Revised: June 23, 2023 Accepted: August 17, 2023 Article in press: August 17, 2023 Published online: October 27, 2023 Processing time: 152 Days and 18.7 Hours
Core Tip
Core Tip: This study compared the effectiveness of the enhanced recovery after surgery (ERAS) protocol with traditional perioperative management methods in elderly patients with gallbladder stones and a high body mass index. The results showed that the ERAS protocol demonstrated significant advantages in postoperative outcomes, including reduced readmission rates, improved postoperative nausea and vomiting, alleviated abdominal distension, and enhanced daily living ability. However, the protocol may not exhibit significant improvement in early postoperative symptoms but demonstrates advantages in long-term symptoms and recovery. Implementing the ERAS protocol in the postoperative management of cholecystectomy patients can contribute to improved recovery and quality of life while reducing health care resource utilization.
