Insufficient Post-operative Energy Intake Is Associated With Failure of Enhanced Recovery Programs After Laparoscopic Colorectal Cancer Surgery: A Prospective Cohort Study

• Published in: Frontiers in nutrition (Lausanne) 2021-12, Vol.8, p.768067-768067
• Main Authors: Liu, Shuang, Zhang, Sheng, Li, Zike, Li, Meng, Zhang, Yujie, He, Min, Jin, Chengcheng, Gao, Chun, Gong, Jianping
• Format: Article
• Language: English
• Subjects: energy intake; enhanced recovery after surgery; failure; laparoscopic colorectal surgery; Nutrition; post-operative activity
• ISSN: 2296-861X; 2296-861X
• DOI: 10.3389/fnut.2021.768067

Although enhanced recovery after surgery (ERAS) has been proven to be beneficial after laparoscopic colorectal surgery, some of the patients may fail to complete the ERAS program during hospitalization. This prospective study aims to evaluate the risk factors associated with ERAS failure after laparoscopic colorectal cancer surgery. This is a prospective study from a single tertiary referral hospital. Patients diagnosed with colorectal cancer who met the inclusion criteria were included in this study. Demographic and clinicopathological characteristics were collected. Post-operative activity time and 6-min walking distance (6MWD) were measured. Patients were divided into ERAS failure group and ERAS success according to decreased post-operative activity and 6MWD. Factors associated with ERAS failure were investigated by univariate and multivariate analysis. A total of 91 patients with colorectal cancer were included. The incidence of ERAS failure is 28.6% among all patients. Patients in ERAS failure group experienced higher rate of post-operative ileus and prolonged hospital stay ( < 0.001). Multivariate analysis revealed that older age ( = 0.006), body mass index ≥25.5 kg/m ( = 0.037), smoking ( = 0.002), operative time ( = 0.048), and post-operative energy intake