Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery?

Pisarska, Magdalena; Pędziwiatr, Michał; Matłok, Maciej; Major, Piotr; Migaczewski, Marcin; Zub-Pokrowiecka, Anna; Rubinkiewicz, Mateusz; Zychowicz, Anna; Budzyński, Andrzej

doi:10.1016/j.clnesp.2016.02.060

Cited by 3 publications

(2 citation statements)

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“…ERAS promotes global evidence-based treatment in perioperative period [29]. It was first described and performed in patients after elective colorectal surgery in European countries [30], and now it gradually extends to any type of surgery, including some major upper gastrointestinal surgery [31]. The program aims to reduce injury caused by surgery, support the recovery of intestinal function and promote early activity of patients [32].…”

Section: Discussionmentioning

confidence: 99%

Early versus delay oral feeding for patients after upper gastrointestinal surgery: a systematic review and meta-analysis of randomized controlled trials

Deng

Qin

2022

Cancer Cell Int

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Purpose To evaluate the efficacy and safety of early oral feeding (EOF) in patients after upper gastrointestinal surgery through meta-analysis of randomized controlled trials (RCTs). Methods We analyzed the endpoints of patients including the length of stay (LOS), time of first exhaust, anastomotic leakage and pneumonia from included studies. And we retrieved RCTs from medical literature databases. Weighted mean difference (WMD), risk ratios (RR) and 95% confidence intervals (CI) were calculated to compare the endpoints. Results In total, we retrieved 12 articles (13 trial comparisons) which contained 1771 patients. 887 patients (50.1%) were randomized to EOF group whereas 884 patients (49.9%) were randomized to delay oral feeding group. The result showed that compared with the delay oral feeding group, EOF after upper gastrointestinal surgery significantly shorten the LOS [WMD = − 1.30, 95% CI − 1.79 to − 0.80, I2 = 0.0%] and time of first exhaust [WMD = − 0.39, 95% CI − 0.58 to − 0.20, I2 = 62.1%]. EOF also reduced the risk of pneumonia (RR: 0.74, 95% CI 0.55 to 0.99, I2 = 0.0%). There is no significant difference in the risk of anastomotic leak, anastomotic bleeding, abdominal abscess, reoperation, readmission and mortality. Conclusions Overall, compared with the traditional oral feeding, EOF could shorten the LOS and time of first exhaust without increasing complications after upper gastrointestinal surgery.

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Section: Discussionmentioning

confidence: 99%

Early versus delay oral feeding for patients after upper gastrointestinal surgery: a systematic review and meta-analysis of randomized controlled trials

Deng

Qin

2022

Cancer Cell Int

View full text Add to dashboard Buy / Rent full text

show abstract

“…It has been proven that frailty is associated with higher mortality and higher complication rates, whereas age itself is not [2]. Moreover, recent changes in perioperative care and the successful introduction of enhanced recovery after surgery (ERAS) protocols improve short-and long-term outcomes [3]. According to the contemporary understanding of recovery, tolerance of food without nausea and regained mobility are the most important targets [4].…”

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confidence: 99%