Langenbecks Arch Surg 2022 Jul 21. Epub 2022 Jul 21.
Department of Visceral Surgery, Lausanne University Hospital CHUV and University of Lausanne UNIL, Lausanne, 1011, Switzerland.
Background: To reduce the impact of surgery-related stress, enhanced recovery after surgery (ERAS) pathways have been developed since over 15 years with subsequent improved postoperative outcome. This multimodal and evidence-based perioperative approach has spread to all fields of gastrointestinal surgery, from esophagus, stomach, duodenum and pancreas, liver, small intestine and colon, and rectum, as well as for other specialties like vascular and cardia surgeries or neurosurgery, among others.
Purpose: The aim of this state-of-the-art article is to assess current state of evidence on perioperative management specifically in gastrointestinal surgery, with a focus on surgery-related aspects, outcome benefit, and future directions. Read More