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Evaluate adherence to bariatric surgery enhanced recovery after surgery (ERAS) protocols in pre-operative, operative, and post-operative phases, and to compare opiate use, nausea control, and length of stay (LOS) versus historical controls.
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Methods This cohort study included patients booked under the colorectal surgery enhanced recovery after surgery program from November 2016 through March 2018 who received either bilateral transversus abdominis plane catheters ( n = 52) or thoracic epidural analgesia ( n = 24).
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It was found that surgery enhanced the expression of hypothalamic CRH and caused HPA axis hyperactivity.
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