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

U. O. Gustafsson, M. J. Scott, M. Hubner, J. Nygren, N. Demartines, N. Francis, T. A. Rockall, T. M. Young-Fadok, A. G. Hill, M. Soop, H. D. de Boer, R. D. Urman, G. J. Chang, A. Fichera, H. Kessler, F. Grass, E. E. Whang, W. J. Fawcett, F. Carli, D. N. LoboK. E. Rollins, A. Balfour, G. Baldini, B. Riedel, O. Ljungqvist

Research output: Contribution to journalReview articlepeer-review

1088 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)659-695
Number of pages37
JournalWorld journal of surgery
Volume43
Issue number3
DOIs
StatePublished - Mar 15 2019

ASJC Scopus subject areas

  • Surgery

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