Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

被引：553

作者：

Gustafsson, U. O. ^{[1
,2
]}

Scott, M. J. ^{[3
,4
]}

Schwenk, W. ^{[5
]}

Demartines, N. ^{[6
]}

Roulin, D. ^{[6
]}

Francis, N.

McNaught, C. E. ^{[7
]}

MacFie, J. ^{[7
]}

Liberman, A. S. ^{[8
]}

Soop, M. ^{[9
]}

Hill, A. ^{[10
]}

Kennedy, R. H. ^{[11
]}

Lobo, D. N. ^{[12
]}

Fearon, K. ^{[13
]}

Ljungqvist, O. ^{[14
,15
,16
]}

机构：

[1] Ersta Hosp, Dept Surg, Stockholm, Sweden

[2] Karolinska Inst, Dept Clin Sci, Danderyd Hosp, Stockholm, Sweden

[3] Royal Surrey Cty Hosp NHS Fdn Trust, Dept Anaesthesia & Intens Care Med, Guildford, Surrey, England

[4] Univ Surrey, Fac Hlth & Med Sci, Guildford GU2 5XH, Surrey, England

[5] Asklepios Klin Altona, Dept Gen & Visceral Surg, Ctr Minimalinvas & Oncol Surg, Hamburg, Germany

[6] Univ Hosp CHUV, Dept Visceral Surg, Lausanne, Switzerland

[7] Scarborough Gen Hosp, Dept Surg, Scarborough, N Yorkshire, England

[8] McGill Univ, Dept Surg, Montreal, PQ H3A 2T5, Canada

[9] Univ Auckland, Dept Surg, Auckland 1, New Zealand

[10] Univ Auckland, Dept Surg, S Auckland Clin Sch, Middlemore Hosp, Auckland 1, New Zealand

[11] NW London Hosp NHS Trust, St Marks Hosp, Harrow, Middx, England

[12] Univ Nottingham Hosp, Queens Med Ctr, Div Gastrointestinal Surg, Nottingham Digest Dis Ctr Natl Inst Hlth Res Biom, Nottingham NG7 2UH, England

[13] Univ Edinburgh, Edinburgh, Midlothian, Scotland

[14] Univ Orebro, Dept Surg, Orebro, Sweden

[15] Univ Hosp, Orebro, Sweden

[16] Karolinska Inst, Inst Mol Med & Surg, Stockholm, Sweden

来源：

WORLD JOURNAL OF SURGERY | 2013年 / 37卷 / 02期

关键词：

RANDOMIZED-CLINICAL-TRIAL; SHORT-TERM OUTCOMES; QUALITY-OF-LIFE; LAPAROSCOPIC COLORECTAL SURGERY; ORAL NUTRITIONAL SUPPLEMENTS; PATIENT-CONTROLLED ANALGESIA; THORACIC EPIDURAL ANALGESIA; INTRAVENOUS FLUID THERAPY; FAST-TRACK PROGRAM; POSTOPERATIVE NAUSEA;

D O I：

10.1007/s00268-012-1772-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This review aims to present a consensus for optimal perioperative care in colonic surgery and to provide graded recommendations for items for an evidenced-based enhanced perioperative protocol. Studies were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group. For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of good-quality trials (quality of evidence and recommendations according to the GRADE system). Based on the evidence available for each item of the multimodal perioperative care pathway, the Enhanced Recovery After Surgery (ERAS) Society, International Association for Surgical Metabolism and Nutrition (IASMEN) and European Society for Clinical Nutrition and Metabolism (ESPEN) present a comprehensive evidence-based consensus review of perioperative care for colonic surgery.

引用

页码：259 / 284

页数：26

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