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Enhanced Recovery After Surgery: Recent Developments in Colorectal Surgery.
1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, A30, Cleveland, OH 44195, USA.
The Surgical Clinics of North America
|November 5, 2018
Summary
Enhanced recovery after surgery (ERAS) protocols improve patient recovery and discharge after colorectal surgery. This review details updated ERAS interventions and identifies those with limited clinical benefit for colorectal patients.
Area of Science:
- Colorectal Surgery
- Surgical Recovery Protocols
- Evidence-Based Medicine
Background:
- Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care pathway.
- ERAS protocols have demonstrated efficacy in improving outcomes for patients undergoing colorectal resection.
- Continuous evaluation of ERAS components is essential for optimizing patient care.
Purpose of the Study:
- To review recent advancements and modifications in ERAS protocols for colorectal surgery.
- To critically assess the clinical utility of specific interventions within ERAS protocols for colorectal patients.
- To provide an updated evidence-based summary for clinical practice.
Main Methods:
- Systematic literature review of recent studies on ERAS protocols in colorectal surgery.
- Analysis of clinical trial data and meta-analyses evaluating ERAS interventions.
- Expert consensus and guideline appraisal.
Main Results:
- Several new and refined ERAS interventions show promise for enhancing recovery.
- Certain previously recommended interventions demonstrate limited or no significant clinical benefit in recent colorectal surgery cohorts.
- Protocol adherence and patient selection remain critical factors for ERAS success.
Conclusions:
- ERAS protocols continue to evolve, with ongoing refinements improving patient outcomes in colorectal surgery.
- Clinicians should adopt evidence-based updates and critically evaluate the benefit of all ERAS components.
- Personalized application of ERAS protocols is key to maximizing benefits and avoiding ineffective interventions.
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