The preoperative management in palliative colorectal surgery according to the Enhanced Recovery After Surgery (ERAS) Society recommendations

Bogdan Socea1,3,5, Simona Bobic1,4,5, Camelia Diaconu1,3, 6, Ovidiu Gabriel Bratu1,7, Andra Iulia Suceveanu2,3,6, Mihai Dimitriu1,8, Vlad Denis Constantin1,5

1 University of Medicine and Pharmacy „Dr. Carol Davila”, Bucharest, Romania, 2Faculty of Medicine University “Ovidius”, Constanta, Romania, 3MD, PhD, Lecturer, 4 MD,  5General surgery, 6Internal medicine, 7Urology, 8Obstetrics and gynecology

Primit: 1.03.2019 • Acceptat pentru publicare: 29.03.2019

Abstract

Introduction: The mission of the Enhanced Recovery After Surgery (ERAS) Society is to elaborate, by intense research, education, audit and implementation of evidence-based practice, universally accepted guidelines regarding the peri-operative care of the patients in order to improve their recovery. The aim of the present study is to show the recent consensus regarding the preoperative management of the patients undergoing palliative colorectal surgery.

Methods: A review was performed, using Web of Science Core Collection database, in order to select recent English literature publications regarding the ERAS protocol, with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohorts.

Results and conclusions: All recommendations of the ERAS protocol on the preoperative management are based on best available evidence.

Keywords: preoperative management, palliative care, colorectal surgery

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