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Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations.
Department of Gastrointestinal and Hepatobiliary Surgery, University Hospital of Northern Norway, Tromsø, Norway.
Department of Surgical Gastroenterology, Karolinska University Hospital, Stockholm, Sweden.
Department of Digestive Surgery, Centre Hospitalier Universitaire Estaing, Clermont-Ferrand, France.
Department of Visceral Surgery, University Hospital of Lausanne (Centre Hospitalier Universitaire Vaudois), Lausanne, Switzerland.
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2014 (English)In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 101, no 10, 1209-1229 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Application of evidence-based perioperative care protocols reduces complication rates, accelerates recovery and shortens hospital stay. Presently, there are no comprehensive guidelines for perioperative care for gastrectomy.

METHODS: An international working group within the Enhanced Recovery After Surgery (ERAS®) Society assembled an evidence-based comprehensive framework for optimal perioperative care for patients undergoing gastrectomy. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system and were discussed until consensus was reached within the group. The quality of evidence was rated 'high', 'moderate', 'low' or 'very low'. Recommendations were graded as 'strong' or 'weak'.

RESULTS: The available evidence has been summarized and recommendations are given for 25 items, eight of which contain procedure-specific evidence. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations.

CONCLUSION: The present evidence-based framework provides comprehensive advice on optimal perioperative care for the patient undergoing gastrectomy and facilitates multi-institutional prospective cohort registries and adequately powered randomized trials for further research.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2014. Vol. 101, no 10, 1209-1229 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-40273DOI: 10.1002/bjs.9582ISI: 000340606800004PubMedID: 25047143Scopus ID: 2-s2.0-84905917398OAI: oai:DiVA.org:oru-40273DiVA: diva2:776774
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2015-06-09Bibliographically approved

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CiteExportLink to record
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