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World J Gastroenterol. Nov 28, 2014; 20(44): 16615-16619
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16615
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16615
Evidence or eminence in abdominal surgery: Recent improvements in perioperative care
Josefin Segelman, Department of Molecular Medicine and Surgery, Karolinska Institutet, 11691 Stockholm, Sweden
Josefin Segelman, Department of Surgery, Ersta Hospital, 11691 Stockholm, Sweden
Jonas Nygren, Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet and Department of Surgery, Ersta Hospital, 11691 Stockholm, Sweden
Author contributions: Segelman J and Nygren J contributed equally to the manuscript.
Correspondence to: Jonas Nygren, MD, PhD, Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet and Department of Surgery, Ersta Hospital, Box 4622, 11691 Stockholm, Sweden. jonas.nygren@erstadiakoni.se
Telephone: +46-871-46542 Fax: +46-856-634611
Received: June 17, 2014
Revised: July 23, 2014
Accepted: September 18, 2014
Published online: November 28, 2014
Revised: July 23, 2014
Accepted: September 18, 2014
Published online: November 28, 2014
Core Tip
Core tip: There is a strong and evolving evidence base to support Enhanced Recovery After Surgery (ERAS) programs in abdominal surgery. Such pathways are safe and efficient in enhancing recovery and reducing morbidity. However, patient-related outcomes, cost effectiveness and long-term benefits from ERAS protocols need to be studied more carefully in the future. To support efficient and successful implementation, further educational efforts have to be performed on a national or regional level to improve the standard of care in the general population.