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Guidelines for perioperative care in elective colonic surgery: enhanced recovery after surgery (ERAS®) society recommendations
Department of Surgery, Ersta Hospital, Stockholm, Sweden; Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Department of Anaesthesia and Intensive Care Medicine, Royal Surrey County Hospital Foundation Trust, Guildford, UK; Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Department for General and Visceral Surgery, Center for Minimal invasive and Oncological Surgery, Asklepios Klinik Altona, Hamburg, Germany.
Department of Visceral Surgery, University Hospital CHUV, Lausanne, Switzerland.
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2012 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 31, no 6, p. 783-800Article in journal (Refereed) Published
Abstract [en]

Background: 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.

Methods: 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.

Results: 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).

Conclusions: 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.

Place, publisher, year, edition, pages
Amsterdam, Netherlands: Elsevier, 2012. Vol. 31, no 6, p. 783-800
Keywords [en]
Perioperative care in colonic surgery, ERAS
National Category
Medical and Health Sciences Nutrition and Dietetics
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-27229DOI: 10.1016/j.clnu.2012.08.013ISI: 000313301100001PubMedID: 23099039Scopus ID: 2-s2.0-84870251357OAI: oai:DiVA.org:oru-27229DiVA, id: diva2:602503
Available from: 2013-02-01 Created: 2013-02-01 Last updated: 2018-09-14Bibliographically approved

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Ljungqvist, Olle

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