Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations

ERAS Soc; European Soc Clinical Nutr Metab; Int Assoc Surgical Metab; Kristoffer Lassen; Marielle M. E. Coolsen; Karem Slim; Francesco Carli; Jose E. de Aguilar-Nascimento; Markus Schaefer; Rowan W. Parks; Kenneth C. H. Fearon; Dileep N. Lobo; Nicolas Demartines; Marco Braga; Olle Ljungqvist; Cornelis H. C. Dejong

doi:10.1016/j.clnu.2012.08.011

Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations

ERAS Soc, European Soc Clinical Nutr Metab, Int Assoc Surgical Metab, Kristoffer Lassen^*, Marielle M. E. Coolsen, Karem Slim, Francesco Carli, Jose E. de Aguilar-Nascimento, Markus Schaefer, Rowan W. Parks, Kenneth C. H. Fearon, Dileep N. Lobo, Nicolas Demartines, Marco Braga, Olle Ljungqvist, Cornelis H. C. Dejong

^*Corresponding author for this work

Deanery of Clinical Sciences

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Background & aims: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy.

Methods: An international working group constructed within the Enhanced Recovery After Surgery (ERAS (R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak".

Results: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations.

Conclusions: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Original language	English
Pages (from-to)	817-830
Number of pages	14
Journal	Clinical Nutrition
Volume	31
Issue number	6
DOIs	https://doi.org/10.1016/j.clnu.2012.08.011
Publication status	Published - Dec 2012

Keywords / Materials (for Non-textual outputs)

THORACIC EPIDURAL ANALGESIA
ELECTIVE COLORECTAL SURGERY
PREOPERATIVE BILIARY DRAINAGE
Pancreas
Guidelines
ROUTINE NASOGASTRIC DECOMPRESSION
Enhanced Recovery After Surgery (ERAS)
RANDOMIZED-CONTROLLED-TRIAL
POSTOPERATIVE INSULIN-RESISTANCE
SURGICAL SITE INFECTIONS
Whipple
Pancreatoduodenectomy
URINARY-TRACT-INFECTION
Fast track
CIRCULATING-WATER GARMENT
Critical pathway
UPPER-GASTROINTESTINAL SURGERY

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10.1016/j.clnu.2012.08.011

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ERAS Soc, European Soc Clinical Nutr Metab, Int Assoc Surgical Metab, Lassen, K., Coolsen, M. M. E., Slim, K., Carli, F., de Aguilar-Nascimento, J. E., Schaefer, M., Parks, R. W., Fearon, K. C. H., Lobo, D. N., Demartines, N., Braga, M., Ljungqvist, O., & Dejong, C. H. C. (2012). Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations. Clinical Nutrition, 31(6), 817-830. https://doi.org/10.1016/j.clnu.2012.08.011

@article{42c9d26b2e65450aa207c1499fd71983,

title = "Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations",

abstract = "Background & aims: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy.Methods: An international working group constructed within the Enhanced Recovery After Surgery (ERAS (R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated {"}high{"}, {"}moderate{"}, {"}low{"} or {"}very low{"}. Recommendations were graded as {"}strong{"} or {"}weak{"}.Results: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations.Conclusions: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.",

keywords = "THORACIC EPIDURAL ANALGESIA, ELECTIVE COLORECTAL SURGERY, PREOPERATIVE BILIARY DRAINAGE, Pancreas, Guidelines, ROUTINE NASOGASTRIC DECOMPRESSION, Enhanced Recovery After Surgery (ERAS), RANDOMIZED-CONTROLLED-TRIAL, POSTOPERATIVE INSULIN-RESISTANCE, SURGICAL SITE INFECTIONS, Whipple, Pancreatoduodenectomy, URINARY-TRACT-INFECTION, Fast track, CIRCULATING-WATER GARMENT, Critical pathway, UPPER-GASTROINTESTINAL SURGERY",

author = "{ERAS Soc} and {European Soc Clinical Nutr Metab} and {Int Assoc Surgical Metab} and Kristoffer Lassen and Coolsen, {Marielle M. E.} and Karem Slim and Francesco Carli and {de Aguilar-Nascimento}, {Jose E.} and Markus Schaefer and Parks, {Rowan W.} and Fearon, {Kenneth C. H.} and Lobo, {Dileep N.} and Nicolas Demartines and Marco Braga and Olle Ljungqvist and Dejong, {Cornelis H. C.}",

year = "2012",

month = dec,

doi = "10.1016/j.clnu.2012.08.011",

language = "English",

volume = "31",

pages = "817--830",

journal = "Clinical Nutrition",

issn = "0261-5614",

publisher = "Churchill Livingstone",

number = "6",

}

ERAS Soc, European Soc Clinical Nutr Metab, Int Assoc Surgical Metab, Lassen, K, Coolsen, MME, Slim, K, Carli, F, de Aguilar-Nascimento, JE, Schaefer, M, Parks, RW, Fearon, KCH, Lobo, DN, Demartines, N, Braga, M, Ljungqvist, O & Dejong, CHC 2012, 'Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations', Clinical Nutrition, vol. 31, no. 6, pp. 817-830. https://doi.org/10.1016/j.clnu.2012.08.011

TY - JOUR

T1 - Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations

AU - ERAS Soc

AU - European Soc Clinical Nutr Metab

AU - Int Assoc Surgical Metab

AU - Lassen, Kristoffer

AU - Coolsen, Marielle M. E.

AU - Slim, Karem

AU - Carli, Francesco

AU - de Aguilar-Nascimento, Jose E.

AU - Schaefer, Markus

AU - Parks, Rowan W.

AU - Fearon, Kenneth C. H.

AU - Lobo, Dileep N.

AU - Demartines, Nicolas

AU - Braga, Marco

AU - Ljungqvist, Olle

AU - Dejong, Cornelis H. C.

PY - 2012/12

Y1 - 2012/12

N2 - Background & aims: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy.Methods: An international working group constructed within the Enhanced Recovery After Surgery (ERAS (R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak".Results: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations.Conclusions: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

AB - Background & aims: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy.Methods: An international working group constructed within the Enhanced Recovery After Surgery (ERAS (R)) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak".Results: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations.Conclusions: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

KW - THORACIC EPIDURAL ANALGESIA

KW - ELECTIVE COLORECTAL SURGERY

KW - PREOPERATIVE BILIARY DRAINAGE

KW - Pancreas

KW - Guidelines

KW - ROUTINE NASOGASTRIC DECOMPRESSION

KW - Enhanced Recovery After Surgery (ERAS)

KW - RANDOMIZED-CONTROLLED-TRIAL

KW - POSTOPERATIVE INSULIN-RESISTANCE

KW - SURGICAL SITE INFECTIONS

KW - Whipple

KW - Pancreatoduodenectomy

KW - URINARY-TRACT-INFECTION

KW - Fast track

KW - CIRCULATING-WATER GARMENT

KW - Critical pathway

KW - UPPER-GASTROINTESTINAL SURGERY

U2 - 10.1016/j.clnu.2012.08.011

DO - 10.1016/j.clnu.2012.08.011

M3 - Article

SN - 0261-5614

VL - 31

SP - 817

EP - 830

JO - Clinical Nutrition

JF - Clinical Nutrition

IS - 6

ER -

Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS (R)) Society recommendations

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