title: Enhanced recovery programme in colorectal surgery: does one size fit all?
abstract: Enhanced recovery after surgery (ERAS) employs a multimodal perioperative care pathway with the aim of attenuating the stress response to surgery and accelerating recovery. It has been difficult to determine the relative importance of some of the individual components of these pathways such as epidural analgesia and laparoscopic colorectal surgery. Some argue that only a rigid adherence to the published ERAS protocol can achieve the proposed benefits of fast-track surgery. In this article, we explore some of the areas where the evidence base may be changing and ask whether a more flexible and individualised approach should be considered.
authors.forename: Alison
authors.initials: A
authors.lastname: Lyon
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Payne
authors.forename: Graham J
authors.initials: GJ
authors.lastname: Mackay
mesh_terms: D000698:Analgesia; D000762:Anesthesia Recovery Period; D003106:Colon / Q000503:physiopathology / Q000601:surgery*; D005440:Fluid Therapy; D019983:Guideline Adherence; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000592:standards; D019990:Perioperative Care / Q000009:adverse effects / Q000592:standards; D017410:Practice Guidelines as Topic; D020127:Recovery of Function; D012007:Rectum / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome