2012欧洲结肠手术ERAS指南

World J Surg(2013)37:259-284World Jourlof SurgeryD0I10.1007s00268-012-1772-0Guidelines for Perioperative Care in Elective Colonic Surgery:Enhanced Recovery After Surgery (ERAS)SocietyRecommendationsU.O.Gustafsson·M.J.Scott·W.Schwenk·N.Demartines·D.Roulin·N.Francis·C.E.McNaught·J.MacFie·A.S.Liberman·M.SoopA.Hil·R.H.Kennedy·D.N.Lobo·K.Fearon·O.LjungqvistEnhanced Recovery After Surgery.The European Society for Clinical Nutrition and Metabolism,and International Association for SurgicalMetabolism and Nutrition 2012Abstractliterature was examined,reviewed and graded.A consensusBackground This review aims to present a consensus forrecommendation was reached after critical appraisal of theoptimal perioperative care in colonic surgery and to pro-literature by the group.vide graded recommendations for items for an evidenced-Results For most of the protocol items,recommendationsbased enhanced perioperative protocol.are based on good-quality trials or meta-analyses of good-Methods Studies were selected with particular attentionquality trials (quality of evidence and recommendationspaid to meta-analyses,randomised controlled trials andaccording to the GRADE system).large prospective cohorts.For each item of the periopera-Conclusions Based on the evidence available for eachtive treatment pathway,available English-languageitem of the multimodal perioperative care pathway,theEnhanced Recovery After Surgery (ERAS)Society,Inter-This study was conducted on behalf of the ERAS Society,thenational Association for Surgical Metabolism and NutritionEuropean Society for Clinical Nutrition and Metabolism and the(IASMEN)and European Society for Clinical NutritionInternational Association for Surgical Nutrition and Metabolismand Metabolism (ESPEN)present a comprehensive evi-dence-based consensus review of perioperative care forThe guidelines are published as a joint effort between the Enhancedcolonic surgery.Recovery After Surgery (ERAS)Society,for Perioperative Care,TheEuropean Society for Clinical Nutrition and Metabolism (ESPEN)and The International Association for Surgical Metabolism andNutrition (IASMEN)and copyrights for this publication is sharedIntroductionbetween the three societies.The guidelines are published jointly inWorld Journal of Surgery (IASMEN)and Clinical Nutrition(ESPEN).and will also be available on the ESPEN (http:/wwwespen.org).IASMENThe delay until full recovery after major abdominal surgery(http://www.iasmenorg)and ERAS Society website (htp://www.erassociety.ong).has been greatly improved by the introduction of a series ofU.O.Gustafsson(☒)W.SchwenkDepartment of Surgery,Ersta Hospital,Stockholm,SwedenDepartment for General-and Visceral Surgery,Center fore-mail:ulf.gustafsson@erstadiakoni.seMinimalinvasive and Oncological Surgery,Asklepios KlinikAltona,Hamburg.GermanyU.O.GustafssonDepartment of Clinical Sciences,Danderyd Hospital,KarolinskaN.Demartines D.RoulinInstitutet.Stockholm.SwedenDepartment of Visceral Surgery,University Hospital CHUV,Lausanne