To summarize the application value of rapid rehabilitation surgical measures in the surgery of weight loss and metabolic diseases by implementing various enhanced recovery after surgery (ERAS) measures in the perioperative period of weight loss metabolic surgery.

the clinical data of 91 patients with obesity or type 2 diabetes treated in the Department of weight loss and Metabolic Diseases, Xiaolan Hospital affiliated to Southern Medical University from January 2015 to January 2018 were retrospectively analyzed. According to the principle of random grouping, patients who received rapid rehabilitation measures during perioperative period were included in the rapid rehabilitation surgery group (ERAS group), while patients who only used traditional perioperative measures in gastrointestinal surgery were included in the control group. The differences of postoperative pain score, anal exhaust time, complications, average hospitalization time,total hospitalization cost, weight loss effect, rehospitalization rate and reoperation rate between the two groups were compared, and the application value of ERAS in weight loss metabolic surgery was analyzed and discussed.

The NRS score of postoperative pain in the ERAS group was lower than that in the control group (3.81.2) vs. (6.41.5), P<0.05). The postoperative anal exhaust time was shortened (1.0 ±0.3) d vs. (1.9 ±0.7) d, P<0.05). There were no serious complications, the postoperative hospital stay was shorter (6.4 ±1.3) d vs. (13.7 ±1.5) d, P<0.05), and the hospitalization cost was reduced (46813 ±3070) ￥ vs. (66973 ±4520)￥, P<0.05. The average rate of excess weight loss 1 year after operation in both groups was more than 80%.

In the perioperative period of weight loss and metabolic surgery, the implementation of rapid rehabilitation measures is superior to the traditional mode, which can significantly shorten the time of hospitalization, reduce postoperative complications, rapid recovery and save cost, and has outstanding application value.