Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations: 2018 · SciRah

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Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations: 2018

Ulf O Gustafsson^{a b}✉, Michael J. Scott^{c d e}, Martin Hübner^{f g}, Jonas Nygren^{h i}, Nicolas Demartines^{f g}, Nader Kamal Francis^{j k l}, Timothy Rockall^{m n}, Tonia M. Young‐Fadok^{o p}, Andrew Graham Hill^{q r}, Mattias Soop^{s t}, Hans D. de Boer^{u v},

World Journal of Surgery Springer Science+Business Media2018-11-13 2,133 citations365 references

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Abstract

Abstract Background This is the fourth updated Enhanced Recovery After Surgery (ERAS ® ) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS ® protocol. Methods A wide database search on English literature publications was performed. Studies on each item within the protocol were selected with particular attention paid to meta‐analyses, randomised controlled trials and large prospective cohorts and examined, reviewed and graded according to Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results All recommendations on ERAS ® protocol items are based on best available evidence; good‐quality trials; meta‐analyses of good‐quality trials; or large cohort studies. The level of evidence for the use of each item is presented accordingly. Conclusions The evidence base and recommendation for items within the multimodal perioperative care pathway are presented by the ERAS ® Society in this comprehensive consensus review.

TL;DRThe evidence base and recommendation for items within the multimodal perioperative care pathway are presented by the ERAS® Society in this comprehensive consensus review. (Semantic Scholar)

Plain-language summary

AI illustration of the topic of “Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations: 2018”

Discussion

^aDepartment of Surgery, Danderyd Hospital and Department of Clinical Sciences, Danderyd Hospital Karolinska Institutet Stockholm Sweden
^bDepartment of Surgery, Danderyd Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
^cDepartment of Anesthesia Virginia Commonwealth University Hospital Richmond VA USA
^dDepartment of Anesthesiology University of Pennsylvania Philadelphia USA
^eDepartment of Anesthesia, Virginia Commonwealth University Hospital, Richmond, VA, USA
^fDepartment of Visceral Surgery CHUV Lausanne Switzerland
^gDepartment of Visceral Surgery, CHUV, Lausanne, Switzerland
^hDepartment of Surgery, Ersta Hospital and Department of Clinical Sciences, Danderyd Hospital Karolinska Institutet Stockholm Sweden
ⁱDepartment of Surgery, Ersta Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
^jColorectal Unit Yeovil District Hospital BA21 4AT Higher Kingston, Yeovil UK
^kUniversity of Bath BA2 7JU Wessex House Bath UK
^lColorectal Unit, Yeovil District Hospital, Higher Kingston, Yeovil, BA21 4AT, UK
^mDepartment of Surgery Royal Surrey County Hospital NHS Trust, and Minimal Access Therapy Training Unit (MATTU) Guildford UK
ⁿDepartment of Surgery, Royal Surrey County Hospital NHS Trust, and Minimal Access Therapy Training Unit (MATTU), Guildford, UK
^oDivision of Colon and Rectal Surgery, Department of Surgery Mayo Clinic Phoenix AZ USA
^pDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ, USA
^qDepartment of Surgery, Faculty of Medical and Health Sciences University of Auckland Middlemore Hospital Auckland New Zealand
^rDepartment of Surgery, Faculty of Medical and Health Sciences, University of Auckland Middlemore Hospital, Auckland, New Zealand
^sIrving National Intestinal Failure Unit, The University of Manchester, Manchester Academic Health Science Centre Salford Royal NHS Foundation Trust Manchester UK
^tIrving National Intestinal Failure Unit, The University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK
^uDepartment of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia Martini General Hospital Groningen The Netherlands
^vDepartment of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia, Martini General Hospital, Groningen, The Netherlands
^wDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital Harvard Medical School Boston MA USA
^xDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
^yDepartment of Surgical Oncology and Department of Health Services Research The University of Texas, MD Anderson Cancer Center Houston TX USA
^zDepartment of Surgical Oncology and Department of Health Services Research, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA
^aaDivision of Gastrointestinal Surgery, Department of Surgery University of North Carolina at Chapel Hill Chapel Hill NC USA
^abDivision of Gastrointestinal Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
^acDepartment of Colorectal Surgery, Digestive Disease Institute Cleveland Clinic Ohio USA
^adDepartment of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Ohio, USA
^aeDepartment of Surgery, Brigham and Women’s Hospital Harvard Medical School Boston MA USA
^afDepartment of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
^agDepartment of Anaesthesia Royal Surrey County Hospital NHS Foundation Trust and University of Surrey Guildford UK
^ahDepartment of Anaesthesia, Royal Surrey County Hospital NHS Foundation Trust and University of Surrey, Guildford, UK
^aiDepartment of Anesthesia, McGill University Health Centre Montreal General Hospital Montreal QC Canada
^ajDepartment of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada
^akGastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre Nottingham University Hospitals NHS Trust and University of Nottingham, Queen’s Medical Centre NG7 2UH Nottingham UK
^alGastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2UH, UK
^amDepartment of Colorectal Surgery, Surgical Services, Western General Hospital NHS Lothian Edinburgh UK
^anDepartment of Colorectal Surgery, Surgical Services, Western General Hospital, NHS Lothian, Edinburgh, UK
^aoDepartment of Anaesthesia, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre University of Melbourne Melbourne Australia
^apDepartment of Anaesthesia, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia
^aqDepartment of Surgery, Örebro University and University Hospital, Örebro &amp
^arInstitute of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden
✉Corresponding author