title: Enhanced recovery after gastro-intestinal surgery: The scientific background.
abstract: Enhanced recovery programs (ERP) are without any doubt a major innovation in the care of surgical patients. This multimodal approach encompasses elements of both medical and surgical care. The goal of this in-depth review is to analyze the surgical aspects of ERP, underlining the scientific rationale behind each element of ERP after surgery and in particular, the role of mechanical bowel preparation before colorectal surgery, the place of minimal access surgery, the utility of nasogastric tube, abdominal drainage, bladder catheters and early re-feeding. Publication of factual data has allowed many dogmas to be discarded.
authors: Département de Chirurgie Oncologique, Institut Curie, 26 rue d'Ulm, 75248 Paris Cedex 05, France. Electronic address: pascale.mariani@curie.net.
authors: P
authors: P
authors: Mariani
authors: Service de Chirurgie Digestive & Unité de Chirurgie Ambulatoire CHU Estaing Clermont-Ferrand et GRACE (Groupe Francophone de Réhabilitation Améliorée après Chirurgie), France.
authors: K
authors: K
authors: Slim
mesh_terms: D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D061214:Patient Safety; D019990:Perioperative Care / Q000379:methods* / Q000534:rehabilitation; D016032:Randomized Controlled Trials as Topic; D020127:Recovery of Function / Q000502:physiology*; D013997:Time Factors
keywords: Abdominal drainage; Bladder catheter; Bowel preparation; Nasogastric tube; Re-feeding; Resumption of diet