Clinical Trials Study
Copyright ©The Author(s) 2015.
World J Gastroenterol. Dec 21, 2015; 21(47): 13339-13344
Published online Dec 21, 2015. doi: 10.3748/wjg.v21.i47.13339
Table 1 Perioperative protocols in the enhanced recovery after surgery and conventional groups
ERAS groupConventional group
PreOpPatient education regarding FTSPatient education
Solid food allowed until 6 h before surgery and carbohydrate drinks until 2 h before surgeryNo solid food 24 h before surgery and no liquids 12 h before surgery
No bowel preparationMechanical bowel preparation and nasogastric placement performed
Intraoperative5-trocar laparoscopy-assisted procedure. Non-opioid analgesia after induction of anesthesia. No nasogastric tube or drainage tube used. I.V. fluids were restricted (Ringer’s lactate 20 mL/kg in the first h, after that 6 mL/kg per hour). Vasoactive drugs used if needed5-trocar laparoscopy-assisted procedure. Routine use of abdominal drainage tubes and placement of catheters I.V. fluids not restricted (Ringer’s lactate 20 mL/kg in the first h, then at the rate of 10-12 mL/kg per hour)
1st PostOp DaySoluble contrast swallow study is done to check the anastomosis. If intact, fluids are started. Adequate pain control maintainedKeep NPO
Urinary catheter removedRemoval of urinary catheter
Patient mobilized out of bedMobilization in bed
2nd PostOp DayPatient started on soft foodPatient is advised to get out of bed
Continue and increase ambulation. Pain control maintained
3rd PostOp DayPatient progresses to solid foodRemove nasogastric tube and
Epidural stopped and acetaminophen startedLiquids started
Mobilization continuedEncouraged to walk in the ward
Drains removed
4th PostOp DayCheck discharge criteriasolid food intake