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

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

doi:10.1007/s00268-012-1787-6

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

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

^*Corresponding author for this work

Deanery of Clinical Sciences

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

Abstract / Description of output

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.
ResultsFor 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.

Original language	English
Pages (from-to)	285-305
Number of pages	21
Journal	World Journal of Surgery
Volume	37
Issue number	2
DOIs	https://doi.org/10.1007/s00268-012-1787-6
Publication status	Published - Feb 2013

Keywords / Materials (for Non-textual outputs)

NONSTEROIDAL ANTIINFLAMMATORY DRUGS
PATIENT-CONTROLLED ANALGESIA
QUALITY-OF-LIFE
EPIDURAL ANALGESIA
CRITICALLY-ILL PATIENTS
RANDOMIZED-CLINICAL-TRIAL
ORAL NUTRITIONAL SUPPLEMENTS
LAPAROSCOPIC COLORECTAL SURGERY
POSTOPERATIVE INSULIN-RESISTANCE
MRC CLASICC TRIAL

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http://link.springer.com/article/10.1007%2Fs00268-012-1787-6

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@article{dd15fdf9827c4b12ad16065b7d682bec,

title = "Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations",

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. ResultsFor 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.",

keywords = "NONSTEROIDAL ANTIINFLAMMATORY DRUGS, PATIENT-CONTROLLED ANALGESIA, QUALITY-OF-LIFE, EPIDURAL ANALGESIA, CRITICALLY-ILL PATIENTS, RANDOMIZED-CLINICAL-TRIAL, ORAL NUTRITIONAL SUPPLEMENTS, LAPAROSCOPIC COLORECTAL SURGERY, POSTOPERATIVE INSULIN-RESISTANCE, MRC CLASICC TRIAL",

author = "J. Nygren and J. Thacker and F. Carli and Fearon, {K. C. H.} and S. Norderval and Lobo, {D. N.} and O. Ljungqvist and M. Soop and J. Ramirez",

year = "2013",

month = feb,

doi = "10.1007/s00268-012-1787-6",

language = "English",

volume = "37",

pages = "285--305",

journal = "World Journal of Surgery",

issn = "0364-2313",

publisher = "Springer",

number = "2",

}

TY - JOUR

T1 - Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

AU - Nygren, J.

AU - Thacker, J.

AU - Carli, F.

AU - Fearon, K. C. H.

AU - Norderval, S.

AU - Lobo, D. N.

AU - Ljungqvist, O.

AU - Soop, M.

AU - Ramirez, J.

PY - 2013/2

Y1 - 2013/2

N2 - 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. ResultsFor 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.

AB - 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. ResultsFor 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.

KW - NONSTEROIDAL ANTIINFLAMMATORY DRUGS

KW - PATIENT-CONTROLLED ANALGESIA

KW - QUALITY-OF-LIFE

KW - EPIDURAL ANALGESIA

KW - CRITICALLY-ILL PATIENTS

KW - RANDOMIZED-CLINICAL-TRIAL

KW - ORAL NUTRITIONAL SUPPLEMENTS

KW - LAPAROSCOPIC COLORECTAL SURGERY

KW - POSTOPERATIVE INSULIN-RESISTANCE

KW - MRC CLASICC TRIAL

U2 - 10.1007/s00268-012-1787-6

DO - 10.1007/s00268-012-1787-6

M3 - Article

SN - 0364-2313

VL - 37

SP - 285

EP - 305

JO - World Journal of Surgery

JF - World Journal of Surgery

IS - 2

ER -

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

Abstract / Description of output

Keywords / Materials (for Non-textual outputs)

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