Diet Modification Based on the Enhanced Recovery After Surgery Program (ERAS) in Patients Undergoing Laparoscopic Colorectal Resection

Kim, Ji Yeon; Wie, Gyung-Ah; Cho, Yeong Ah; Kim, So Young; Sohn, Dae Kyung; Kim, Suk Kyoung; Jun, Mee Duck

doi:10.7762/cnr.2018.7.4.297

Cited by 14 publications

(8 citation statements)

References 14 publications

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“…Studies conducted in different countries indicate that the earlier oral feeding starts for the patients the shorter the time of the first defecation and the duration of hospital stay is [21,22], not the presence of anastomosis leakage and abscess and the patient satisfaction was high [23]. In laparoscopic colorectal resection surgery, in addition to preoperative oral carbohydrate administration in accordance with ERAs recommendations, patients, who switched to post-operative oral nutrition early had faster recovery of their postoperative clinical functions, decrease in recovery time and decrease in-hospital stay [24]. In this study, none of the patients have been begun the liquid food on the 2nd hour and solid food intake on the 4th hour of the post-operative period.…”

Section: Discussionmentioning

confidence: 99%

Evaluate the compliance of perioperative practices of the patients with the enhanced recovery after surgery protocols

Ciğerci

Celebi

2021

Health Sci. Q.

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The Enhanced Recovery after Surgery (ERAS) protocol is a multimodal and evidence-based medical practice developed to define the concept of perioperative interventions to improve postoperative outcomes. The protocol consists of a number of elements implemented in the pre-, intra - and post-operative periods. This study aimed to evaluate the compliance of perioperative practices with the ERAS protocols in patients undergoing surgical intervention. In this descriptive and prospective study, 405 patients who underwent surgery in the General Surgery Clinic of a University Hospital created a sample of the study. In the study, where no intervention was made to the patients included in the study, the compliance of routine perioperative practices in the clinic offered to patients undergoing surgery to the protocol was evaluated using the questionnaire prepared in this direction. Procedures such as, in the preoperative period, providing verbal information to all the patients and giving antibiotic prophylaxis to 98.5% of the patients, in the intraoperative period, preferring the smallest possible surgical incision, and, in the postoperative period, using the paracetamol (99.5%) as the first choice for analgesia were compatible with the ERAS protocols. Procedures such as, in the preoperative period, not providing oral carbohydrate to any of the patients and keeping the fasting period longer period (10.91 ± 4.79 hours), in the intraoperative period, preferring anesthetic agents that are effective for a long time, and not perform the necessary practices to ensure normothermia in any of the patients, and, in the postoperative period, not starting the oral nutrition early and using urinary catheterization for 87.7% of the patients were not compatible with the ERAS protocols. As a result of the research, it was determined that the routine perioperative applications in the clinic did not sufficiently comply with the ERAS protocol.

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Section: Discussionmentioning

confidence: 99%

Evaluate the compliance of perioperative practices of the patients with the enhanced recovery after surgery protocols

Ciğerci

Celebi

2021

Health Sci. Q.

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“…Clinical protocols should therefore be revised. 23 In a case study, 24 three patients were followed before and after laparoscopic colorectal resection: one with control fasting, another with shortened preoperative fasting and the third with shortened pre and postoperative fasting. Even with the shortened protocol, the latter two patients underwent preoperative fasting for approximately 17 hours, while the control patient remained in a fasting state for 43 hours.…”

Section: Discussionmentioning

confidence: 99%

Is perioperative fasting associated with complications, length of hospital stay and mortality among gastric and colorectal cancer patients? A cohort study

Virgens

Carvalho²,

Nagashima³

et al. 2020

Sao Paulo Med. J.

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BACKGROUND: During a surgical procedure, patients are often subjected to fasting for times that are more prolonged than the ideal, which may lead to complications. OBJECTIVE: To evaluate the duration of perioperative fasting and its association with postoperative complications, length of hospital stay (LOS) and mortality among gastric and colorectal cancer patients. DESIGN AND SETTING: Cohort study developed in a surgical oncology hospital in the city of Natal (Rio Grande do Norte, Brazil). METHODS: Patients aged over 18 years were included. The Clavien-Dindo surgical complication scale was used to evaluate occurrences of postoperative complications. LOS was defined as the number of days for which patients stayed in the hospital after surgery, or until the day of death. RESULTS: Seventy-seven patients participated (59.8 ± 11.8 years; 54.5% females; 70.1% with bowel tumor). The incidences of postoperative complications and death were 59.7% and 3.9%, respectively. The duration of perioperative fasting was 59.0 ± 21.4 hours, and it was higher among non-survivors and among patients with prolonged hospital stay (≥ 6 days). For each one-hour increase in the durations of perioperative and postoperative fasting, the odds of prolonged hospitalization increased by 12% (odds ratio, OR = 1.12; 95% confidence interval, CI 1.04-1.20) and 5% (OR = 1.05; 95% CI 1.02-1.08), respectively. CONCLUSION: Prolonged perioperative fasting, especially in the postoperative period, was observed in a sample of patients with gastric and colorectal cancer, and this was an independent predictor of LOS.

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“…The medical literature shows but a few reports of similar protocols applied in leading cancer hospitals specialized in treating patients with more advanced stages of cancer who are, in the great majority, malnourished [9][10][11][20][21][22] .…”

Section: Jejum Pré-operatório Abreviado Favorece Realimentação Pós-opmentioning

confidence: 99%

“…Besides, randomized clinical studies comparing ERAS to traditional postoperative care showed a reduction in the length of hospital stay for the ERAS group [8][9][10][11][12][13][14] . Similarly, in 2005, project ACERTO (Aceleração da Recuperação Total -Total Recovery Acceleration) was started in Brazil, based on the concepts of the ERAS group 4,6 .…”

mentioning

confidence: 99%

Jejum pré-operatório abreviado favorece realimentação pós-operatória com menor custo de internação hospitalar em pacientes oncológicos.

Abreu

Polakowski

Lopes

et al. 2019

Rev. Col. Bras. Cir.

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RESUMO Objetivo: avaliar a viabilidade de abreviação do jejum em cirurgias colorretais oncológicas, bem como, o impacto no desfecho cirúrgico dos pacientes. Métodos: estudo prospectivo comparativo randomizado com pacientes submetidos à cirurgias eletivas colorretais, por câncer, no período de maio a setembro de 2017. Os pacientes foram randomizados eletronicamente em dois grupos de acordo com o jejum pré-operatório a ser adotado: convencional ou abreviado. Resultados: dos 33 pacientes incluídos, 15 seguiram o protocolo de jejum abreviado e 18 de jejum convencional. Ambos os grupos apresentaram perfis comparáveis. Nenhum paciente foi submetido a preparo mecânico do cólon. Em 69,7% dos casos, a cirurgia envolveu dissecção baixa do reto. Os procedimentos foram equivalentes em relação às variáveis intraoperatórias e complicações graves. O tempo para atingir realimentação plena foi menor para o jejum abreviado (10 versus 16 dias, p=0,001), assim como, o tempo de internação hospitalar (2 versus 4 dias, p=0,009). Os custos hospitalares foram menores no jejum abreviado (331 versus 682 reais, p<0,001). A análise univariável revelou correlação entre a realimentação plena e o jejum abreviado [HR 0,29 (IC95%: 0,12-0,68] e com a distensão abdominal [HR 0,12(IC95%: 0,01-0,94)]. Após análise multivariável, o jejum abreviado apresentou menor tempo para realimentação plena [HR 0,39(IC95%: 0,16-0,92]. Conclusão: o jejum pré-operatório abreviado favorece a recuperação metabólico-nutricional, diminuindo o tempo para realimentação plena. A implantação do protocolo de abreviação do jejum reduz custos de internação hospitalar.

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Diet Modification Based on the Enhanced Recovery After Surgery Program (ERAS) in Patients Undergoing Laparoscopic Colorectal Resection

Cited by 14 publications

References 14 publications

Evaluate the compliance of perioperative practices of the patients with the enhanced recovery after surgery protocols

Evaluate the compliance of perioperative practices of the patients with the enhanced recovery after surgery protocols

Is perioperative fasting associated with complications, length of hospital stay and mortality among gastric and colorectal cancer patients? A cohort study

Jejum pré-operatório abreviado favorece realimentação pós-operatória com menor custo de internação hospitalar em pacientes oncológicos.

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