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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 3/2011

01-09-2011 | Editorial

Enhanced recovery after elective colorectal surgery: now the standard of care

Authors: E. J. Andrews, M. McCourt, M. G. O’Ríordáin

Published in: Irish Journal of Medical Science (1971 -) | Issue 3/2011

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Abstract

Enhanced recovery programmes have been studied in randomised trials with evidence of quicker recovery of gut function, reduced morbidity, mortality and hospital stay and improved physiological and nutritional outcomes. They aim to reduce the physiological and psychological stress of surgery and consequently the uncontrolled stress response. The key elements, reduced pre-operative fasting, intravenous fluid restriction and early feeding after surgery, are in conflict with traditional management plans but are supported by strong clinical evidence. Given the strength of the current data enhanced recovery should now be the standard of care.
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Metadata
Title
Enhanced recovery after elective colorectal surgery: now the standard of care
Authors
E. J. Andrews
M. McCourt
M. G. O’Ríordáin
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Irish Journal of Medical Science (1971 -) / Issue 3/2011
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-011-0709-1

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