Enhanced recovery after elective colorectal surgery: now the standard of care

Enhanced recovery programmes have been studied in randomised trials with evidence of quicker recovery of gut function, reduced morbidity, mortality and hospital stay and improved physiological and nutritional outcomes. They aim to reduce the physiological and psychological stress of surgery and cons...

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Bibliographic Details
Published in:Irish journal of medical science 2011-09, Vol.180 (3), p.633-635
Main Authors: Andrews, E. J., McCourt, M., O’Ríordáin, M. G.
Format: Article
Language:English
Subjects:
Colectomy - standards
Digestive System Surgical Procedures - standards
Editorial
Elective Surgical Procedures
Family Medicine
General Practice
Humans
Internal Medicine
Medicine
Medicine & Public Health
Postoperative Care - standards
Postoperative Complications - prevention & control
Standard of Care - standards
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Summary:Enhanced recovery programmes have been studied in randomised trials with evidence of quicker recovery of gut function, reduced morbidity, mortality and hospital stay and improved physiological and nutritional outcomes. They aim to reduce the physiological and psychological stress of surgery and consequently the uncontrolled stress response. The key elements, reduced pre-operative fasting, intravenous fluid restriction and early feeding after surgery, are in conflict with traditional management plans but are supported by strong clinical evidence. Given the strength of the current data enhanced recovery should now be the standard of care.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-011-0709-1