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

U O Gustafsson¹, M J Scott^{2

3}, M Hubner⁴, J Nygren⁵, N Demartines⁴, N Francis^{6

7}, T A Rockall⁸, T M Young-Fadok⁹, A G Hill¹⁰, M Soop¹¹, H D de Boer¹², R D Urman¹³, G J Chang¹⁴, A Fichera¹⁵, H Kessler¹⁶, F Grass⁴, E E Whang¹⁷, W J Fawcett¹⁸, F Carli¹⁹, D N Lobo²⁰, K E Rollins²⁰, A Balfour²¹, G Baldini¹⁹, B Riedel²², O Ljungqvist²³

Affiliations

¹ Department of Surgery, Danderyd Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. ulf.o.gustafsson@sll.se.
² Department of Anesthesia, Virginia Commonwealth University Hospital, Richmond, VA, USA.
³ Department of Anesthesiology, University of Pennsylvania, Philadelphia, USA.
⁴ Department of Visceral Surgery, CHUV, Lausanne, Switzerland.
⁵ Department of Surgery, Ersta Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
⁶ Colorectal Unit, Yeovil District Hospital, Higher Kingston, Yeovil, BA21 4AT, UK.
⁷ University of Bath, Wessex House Bath, BA2 7JU, UK.
⁸ Department of Surgery, Royal Surrey County Hospital NHS Trust, and Minimal Access Therapy Training Unit (MATTU), Guildford, UK.
⁹ Division of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ, USA.
¹⁰ Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland Middlemore Hospital, Auckland, New Zealand.
¹¹ Irving National Intestinal Failure Unit, The University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK.
¹² Department of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia, Martini General Hospital, Groningen, The Netherlands.
¹³ Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
¹⁴ Department of Surgical Oncology and Department of Health Services Research, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA.
¹⁵ Division of Gastrointestinal Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
¹⁶ Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Ohio, USA.
¹⁷ Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
¹⁸ Department of Anaesthesia, Royal Surrey County Hospital NHS Foundation Trust and University of Surrey, Guildford, UK.
¹⁹ Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada.
²⁰ Gastrointestinal 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.
²¹ Department of Colorectal Surgery, Surgical Services, Western General Hospital, NHS Lothian, Edinburgh, UK.
²² Department of Anaesthesia, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia.
²³ Department of Surgery, Örebro University and University Hospital, Örebro & Institute of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

PMID: 30426190
DOI: 10.1007/s00268-018-4844-y

Review

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

U O Gustafsson et al. World J Surg. 2019 Mar.

. 2019 Mar;43(3):659-695.

doi: 10.1007/s00268-018-4844-y.

Authors

Affiliations

¹ Department of Surgery, Danderyd Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. ulf.o.gustafsson@sll.se.
² Department of Anesthesia, Virginia Commonwealth University Hospital, Richmond, VA, USA.
³ Department of Anesthesiology, University of Pennsylvania, Philadelphia, USA.
⁴ Department of Visceral Surgery, CHUV, Lausanne, Switzerland.
⁵ Department of Surgery, Ersta Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
⁶ Colorectal Unit, Yeovil District Hospital, Higher Kingston, Yeovil, BA21 4AT, UK.
⁷ University of Bath, Wessex House Bath, BA2 7JU, UK.
⁸ Department of Surgery, Royal Surrey County Hospital NHS Trust, and Minimal Access Therapy Training Unit (MATTU), Guildford, UK.
⁹ Division of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ, USA.
¹⁰ Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland Middlemore Hospital, Auckland, New Zealand.
¹¹ Irving National Intestinal Failure Unit, The University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK.
¹² Department of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia, Martini General Hospital, Groningen, The Netherlands.
¹³ Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
¹⁴ Department of Surgical Oncology and Department of Health Services Research, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA.
¹⁵ Division of Gastrointestinal Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
¹⁶ Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Ohio, USA.
¹⁷ Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
¹⁸ Department of Anaesthesia, Royal Surrey County Hospital NHS Foundation Trust and University of Surrey, Guildford, UK.
¹⁹ Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada.
²⁰ Gastrointestinal 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.
²¹ Department of Colorectal Surgery, Surgical Services, Western General Hospital, NHS Lothian, Edinburgh, UK.
²² Department of Anaesthesia, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia.
²³ Department of Surgery, Örebro University and University Hospital, Örebro & Institute of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

PMID: 30426190
DOI: 10.1007/s00268-018-4844-y

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.

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

Affiliations

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

Authors

Affiliations

Abstract

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical