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World Journal of Surgery
Published in: World Journal of Surgery 2/2013

01-02-2013

Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Authors: J. Nygren, J. Thacker, F. Carli, K. C. H. Fearon, S. Norderval, D. N. Lobo, O. Ljungqvist, M. Soop, J. Ramirez

Published in: World Journal of Surgery | Issue 2/2013

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Abstract

Background

This review aims to present a consensus for optimal perioperative care in rectal/pelvic surgery, and to provide graded recommendations for items for an evidenced-based enhanced recovery protocol.

Methods

Studies were selected with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group.

Results

For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of good-quality trials (evidence grade: high or moderate).

Conclusions

Based on the evidence available for each item of the multimodal perioperative care pathway, the Enhanced Recovery After Surgery (ERAS) Society, European Society for Clinical Nutrition and Metabolism (ESPEN) and International Association for Surgical Metabolism and Nutrition (IASMEN) present a comprehensive evidence-based consensus review of perioperative care for rectal surgery.
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Metadata
Title
Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
Authors
J. Nygren
J. Thacker
F. Carli
K. C. H. Fearon
S. Norderval
D. N. Lobo
O. Ljungqvist
M. Soop
J. Ramirez
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 2/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-012-1787-6

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