Editorial
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World J Gastroenterol. Jan 21, 2012; 18(3): 205-211
Published online Jan 21, 2012. doi: 10.3748/wjg.v18.i3.205
Enhanced recovery for non-colorectal surgery
Gianpiero Gravante, Muhammad Elmussareh
Gianpiero Gravante, Department of Colorectal Surgery, Pilgrim Hospital, Boston, Lincolnshire PE21 9QS, United Kingdom
Muhammad Elmussareh, Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester LE1 5WW, United Kingdom
Author contributions: Gravante G and Elmussareh M contributed equally to this paper.
Correspondence to: Gianpiero Gravante, MD, Department of Colorectal Surgery, Pilgrim Hospital, Tattershall House, Castle Road, Boston, Lincolnshire PE21 9QQ, United Kingdom. ggravante@hotmail.com
Telephone: +44-780-7453286 Fax: +39-06-233216592
Received: March 30, 2011
Revised: June 15, 2011
Accepted: June 22, 2011
Published online: January 21, 2012
Abstract

In recent years the advent of programs for enhanced recovery after major surgery (ERAS) has led to modifications of long-standing and well-established perioperative treatments. These programs are used to target factors that have been shown to delay postoperative recovery (pain, gut dysfunction, immobility) and combine a series of interventions to reduce perioperative stress and organ dysfunction. With due differences, the programs of enhanced recovery are generally based on the preoperative amelioration of the patient’s clinical conditions with whom they present for the operation, on the intraoperative and postoperative avoidance of medications that could slow the resumption of physiological activities, and on the promotion of positive habits in the early postoperative period. Most of the studies were conducted on elective patients undergoing colorectal procedures (either laparotomic or laparoscopic surgery). Results showed that ERAS protocols significantly improved the lung function and reduced the time to resumption of oral diet, mobilization and passage of stool, hospital stay and return to normal activities. ERAS’ acceptance is spreading quickly among major centers, as well as district hospitals. With this in mind, is there also a role for ERAS in non-colorectal operations?

Keywords: Enhanced recovery; Length of stay; Complications