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Enhanced Recovery After Gastrointestinal Surgery (ERAS) in Pediatric Patients: a Systematic Review and Meta-analysis

Salvatore Arena1, Donatella Di Fabrizio2, Pietro Impellizzeri2

  • 1Department of Human Pathology of Adult and Childhood "Gaetano Barresi", Unit of Pediatric Surgery, University of Messina, Messina, Italy. salarena@unime.it.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|July 10, 2021
PubMed

Insights

The Enhanced Recovery After Surgery (ERAS) protocol is safe for pediatric gastrointestinal surgery. It reduces hospital stay, speeds recovery, and lowers costs without increasing complications or readmissions.

Area of Science:

  • Pediatric Surgery
  • Surgical Protocols
  • Evidence-Based Medicine

Background:

  • The Enhanced Recovery After Surgery (ERAS) protocol aims to optimize patient recovery pathways.
  • Its application in pediatric gastrointestinal surgery requires systematic evaluation.

Purpose of the Study:

  • To systematically review the literature on the ERAS protocol in pediatric gastrointestinal surgery.
  • To assess the safety, feasibility, and impact of ERAS on patient outcomes.

Main Methods:

  • A literature search identified studies comparing ERAS and traditional protocols in pediatric gastrointestinal surgery.
  • Data on complications, readmission, length of stay, fluid management, opioid use, and costs were analyzed.

Main Results:

  • Eight studies with 943 patients were included.
  • No significant differences in complications or 30-day readmission rates were found.
  • ERAS significantly reduced length of stay, intraoperative fluid volume, post-operative opioid use, and costs.

Conclusions:

  • The ERAS protocol is safe and feasible for pediatric gastrointestinal surgery.
  • It improves recovery of gastrointestinal function and reduces perioperative resource utilization.
  • ERAS offers significant benefits in terms of patient recovery and healthcare costs.
Abstract

Keywords:
Enhanced recovery after surgeryFast-track surgeryGastrointestinal surgery

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