Enhanced recovery pathways (ERPs) and recommendations have become widely accepted
for metabolic and bariatric surgery, including recommendations for preoperative carbohydrate
loading and duration of fasting status. There is still a lack of consensus regarding
such protocols and the underlying issues of gastric emptying time, resting gastric
volume and pH, and risk of aspiration in patients with severe obesity and in patients
undergoing bariatric surgery. The goal of this position statement by the International
Society for the Perioperative Care of Patients with Obesity (ISPCOP) is to provide
an analysis of available data on preoperative fasting and loading with oral complex
clear carbohydrate drinks as well its potential effects on perioperative risk of aspiration
in the context of Enhanced Recovery Pathways for Metabolic and Bariatric Surgery (ERAMBS).
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Article info
Publication history
Published online: January 04, 2023
Accepted:
December 10,
2022
Received:
December 2,
2022
Publication stage
In Press Journal Pre-ProofIdentification
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