{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:39:05Z","timestamp":1788478745369,"version":"build-2803163510"},"reference-count":29,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,13]],"date-time":"2022-11-13T00:00:00Z","timestamp":1668297600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fundacion Universidad Alfonso X","award":["1.012.027"],"award-info":[{"award-number":["1.012.027"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Introduction: Enhanced Recovery After Surgery (ERAS) protocols have proven to be cost-effective in various surgical procedures, mainly in colorectal surgeries. However, there is still little scientific evidence evaluating the economic impact of their application in bariatric surgery. The present study aimed to compare the economic cost of performing a laparoscopic Roux-en-Y gastric bypass following an ERAS protocol, with the costs of following a standard-of-care protocol. Patients and methods: A prospective non-randomized study of patients undergoing Roux-en-Y gastric bypass was performed. Patients were divided into two groups: patients following an ERAS protocol and patients following a standard-of-care protocol. The total costs of the procedure were subdivided into pharmacological expenditures, surgical material, and time expenses, the price of complementary tests performed during the hospital stay, and costs related to the hospital stay. Results: The 84 patients included 58 women (69%) and 26 men (31%) with a mean age of 44.3 \u00b1 11.6 years. There were no significant differences in age, gender, and distribution of comorbidities between groups. Postoperative pain, nausea or vomiting, and hospital stay were significantly lower within the ERAS group. The pharmacological expenditures, the price of complementary tests performed during the hospital stay, and the costs related to the hospital stay, were significantly lower in the ERAS group. There were no significant differences in the surgical material and surgical time costs between groups. Globally, the total cost of the procedure was significantly lower in the ERAS group with a mean saving of 1458.62$ per patient. The implementation of an ERAS protocol implied a mean saving of 21.25% of the total cost of the procedure. Conclusions: The implementation of an ERAS protocol significantly reduces the perioperative cost of Roux-en-Y gastric bypass.<\/jats:p>","DOI":"10.3390\/ijerph192214946","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T02:32:01Z","timestamp":1668393121000},"page":"14946","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8943-6131","authenticated-orcid":false,"given":"Alfonso","family":"Higueras","sequence":"first","affiliation":[{"name":"School of Medicine, University Alfonso X, 28691 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilberto","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Hospital Real San Jos\u00e9, Guadalajara 19001, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"de Lourdes Bola\u00f1os","sequence":"additional","affiliation":[{"name":"Neuroscience Institute, Centro Universitario de Ciencias Biol\u00f3gico Agropecuarias (CUCBA), University of Guadalajara, Guadalajara 44600, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Victoria","family":"Redondo","sequence":"additional","affiliation":[{"name":"School of Medicine, University Alfonso X, 28691 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6579-0328","authenticated-orcid":false,"given":"Isabel M.","family":"Olazabal","sequence":"additional","affiliation":[{"name":"School of Medicine, University Alfonso X, 28691 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8505-2605","authenticated-orcid":false,"given":"Jaime","family":"Ruiz-Tovar","sequence":"additional","affiliation":[{"name":"School of Medicine, University Alfonso X, 28691 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s13304-012-0195-7","article-title":"Fast-track laparoscopic bariatric surgery: A systematic review","volume":"65","author":"Elliott","year":"2013","journal-title":"Updates Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1136\/fg.2010.002618","article-title":"Bariatric surgery: Can we afford to do it or deny doing it?","volume":"2","author":"Ashrafian","year":"2011","journal-title":"Frontline Gastroenterol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s11695-014-1355-2","article-title":"Fast-track bariatric surgery improves perioperative care and logistics compared to conventional care","volume":"25","author":"Dogan","year":"2015","journal-title":"Obes Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1136\/bmj.322.7284.473","article-title":"Management of patients in fast track surgery","volume":"322","author":"Wilmore","year":"2001","journal-title":"BJM"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/s11605-009-1037-x","article-title":"Enhanced recovery after surgery (ERAS) versus conventional postoperative care in colorectal surgery","volume":"14","author":"Teeuwen","year":"2010","journal-title":"J. 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