Abstract:
Objectives: To describe a consensus review of optimal perioperative care in colorectal surgery and to provide consensus recommendations for each item of an evidence-based protocol for optimal perioperative care. Data Sources: For every item of the perioperative treatment pathway, available English-language literature has been examined. Study Selection: Particular attention was paid to metaanalyses, randomized controlled trials, and systematic reviews. Data Extraction: A consensus recommendation for each protocol item was reached after critical appraisal of the literature by the group. Data Synthesis: For most protocol items, recommendations are based on good-quality trials or metaanalyses of such trials. Conclusions: The Enhanced Recovery After Surgery (ERAS) Group presents a comprehensive evidence-based consensus review of perioperative care for colorectal surgery. It is based on the evidence available for each element of the multimodal perioperative care pathway.