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Related Experiment Video

Updated: Dec 4, 2025

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
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ERAS pathway in colorectal surgery: structured implementation program and high adherence for improved outcomes.

Marco Catarci1,2, Michele Benedetti3, Angela Maurizi4

  • 1General Surgery Unit, Ospedale C.G. Mazzoni Ascoli Piceno, AV 5, Azienda Sanitaria Unica Regionale (ASUR), Marche, Italy. marco.catarci@sanita.marche.it.

Updates in Surgery
|October 23, 2020
PubMed
Summary
This summary is machine-generated.

Implementing an Enhanced Recovery After Surgery (ERAS) program in colorectal surgery requires high adherence to achieve reduced morbidity and shorter hospital stays. This study shows an 85.4% adherence rate positively impacted major morbidity and anastomotic leakage.

Keywords:
Anastomotic leakageColorectal surgeryComplianceERASMajor morbidity

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Evidence-Based Medicine

Background:

  • Enhanced Recovery After Surgery (ERAS) programs are proven to reduce morbidity and hospital stay in colorectal surgery.
  • Optimal ERAS program implementation strategies and adherence levels require further investigation.

Purpose of the Study:

  • To analyze the methods and outcomes of a structured colorectal ERAS program implementation over one year.
  • To assess the correlation between adherence to ERAS components and patient outcomes.

Main Methods:

  • A two-center observational study of 196 consecutive colorectal resections.
  • Prospective data collection on over 50 variables, including ERAS adherence.
  • Univariate and multivariate logistic regression analyses were used for evaluation.

Main Results:

  • Overall morbidity was 36.7%, major morbidity 7.1%, and mortality 3.1%.
  • Anastomotic leakage occurred in 4.9% of patients, with a mean hospital stay of 6.6 days.
  • An 85.4% mean adherence rate to ERAS items demonstrated a significant dose-effect relationship with improved outcomes.

Conclusions:

  • High adherence (>80%) to colorectal ERAS program components significantly reduces major morbidity and anastomotic leakage.
  • Structured implementation of ERAS programs can lead to high adherence and improved surgical outcomes.