Gastric Sleeve ERAS

Enhanced Recovery After Surgery (ERAS) programs promote an evidence based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay, and minimizing post-operative complications. From scheduling through discharge, all phases of perioperative care are incorporated into ERAS pathways.

Gastric Sleeve ERAS Pathway:

Prior to Surgery Day Algorithm
Pre-op and Intraoperative Algorithm
Post-op to Discharge Algorithm
Gastric Sleeve Synopsis (provides care standards employed for this ERAS)

Additional tools associated with this ERAS:

Inclusion criteria:

Patients 14 - 18 years of age diagnosed as obese
Patient having one or more of the following comorbidities:
- Insulin resistance
- Hypertension
- Hyperlipidemia
- GERD
- Obstructive sleep apnea

Exclusion Criteria:

Patients who have not complied with medications and counseling

Committee members involved in the development:

Tolu Oyetunji, MD, MPH, MBA | Pediatric General Surgery | Committee Co-Chair
Shawn St Peter, MD | Pediatric General Surgery | Committee Co-Chair
Efua Bolouvi, MD | Pediatric General Surgery Fellow | Committee Member
Christian Taylor, MD | Department of Anesthesiology | Committee Member
Nadeen Alturki, MBChB | Surgical Scholars Fellow | Committee Member
Kaylene Whited, M.S., CCRP | Children's Mercy Research Institute | Committee Member
Stephanie Otis, MSN, RN, CPEN | Pediatric Surgery | Committee Member
Heather Sambol, RN, APRN | Anesthesiology | Committee Member

EBP Committee Members

Todd Glenski, MD, MSHA, FASA |Anesthesiology, Evidence Based Practice
Andrea Melanson, OTD, OTR/L | Evidence Based Practice

Publication dates:

Finalized date: 11/2025
Next expected revision date: 2028

Concerns with content:

If you have any questions regarding this content, or identify a broken link, please email: evidencebasedpractice@cmh.edu.

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.