title: Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations.
abstract: 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.
authors.affiliation: Department of Surgery, Ersta Hospital, Stockholm, Sweden. ulf.gustafsson@erstadiakoni.se
authors.forename: U O
authors.initials: UO
authors.lastname: Gustafsson
authors.forename: M J
authors.initials: MJ
authors.lastname: Scott
authors.forename: W
authors.initials: W
authors.lastname: Schwenk
authors.forename: N
authors.initials: N
authors.lastname: Demartines
authors.forename: D
authors.initials: D
authors.lastname: Roulin
authors.forename: N
authors.initials: N
authors.lastname: Francis
authors.forename: C E
authors.initials: CE
authors.lastname: McNaught
authors.forename: J
authors.initials: J
authors.lastname: MacFie
authors.forename: A S
authors.initials: AS
authors.lastname: Liberman
authors.forename: M
authors.initials: M
authors.lastname: Soop
authors.forename: A
authors.initials: A
authors.lastname: Hill
authors.forename: R H
authors.initials: RH
authors.lastname: Kennedy
authors.forename: D N
authors.initials: DN
authors.lastname: Lobo
authors.forename: K
authors.initials: K
authors.lastname: Fearon
authors.forename: O
authors.initials: O
authors.lastname: Ljungqvist
mesh_terms: D003106:Colon / Q000601:surgery*; D032921:Consensus; D013505:Digestive System Surgical Procedures / Q000379:methods*; D017558:Elective Surgical Procedures / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D007902:Length of Stay; D015201:Meta-Analysis as Topic; D019990:Perioperative Care / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome