Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol

Background: Enhanced Recovery After Surgery [ERAS] is widely adopted in patients undergoing colorectal surgery, with demonstrated benefits. Few studies have assessed the feasibility, safety, and effectiveness of ERAS in patients with inflammatory bowel diseases [IBD]. The aim of this study was to in...

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Autores: Vigorita, V., Cano-Valderrama, O., Celentano, Valerio|||0000-0002-3562-9082, Vinci, Danilo, Millan, Monica, Spinelli, Antonino, Pellino, Gianluca|||0000-0002-8322-6421
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:325058
Acceso en línea:https://ddd.uab.cat/record/325058
https://dx.doi.org/urn:doi:10.1093/ecco-jcc/jjab209
Access Level:acceso abierto
Palabra clave:Inflammatory bowel disease
Crohn's disease
Crohn's disease Ulcerative colitis
Colorectal surgery
Enhanced recovery after surgery
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spelling Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] ProtocolA Systematic Review with Practical ImplicationsVigorita, V.Cano-Valderrama, O.Celentano, Valerio|||0000-0002-3562-9082Vinci, DaniloMillan, MonicaSpinelli, AntoninoPellino, Gianluca|||0000-0002-8322-6421Inflammatory bowel diseaseCrohn's diseaseCrohn's disease Ulcerative colitisColorectal surgeryEnhanced recovery after surgeryBackground: Enhanced Recovery After Surgery [ERAS] is widely adopted in patients undergoing colorectal surgery, with demonstrated benefits. Few studies have assessed the feasibility, safety, and effectiveness of ERAS in patients with inflammatory bowel diseases [IBD]. The aim of this study was to investigate the current adoption and outcomes of ERAS in IBD. Methods: This PRISMA-compliant systematic review of the literature included all articles reporting on adult patients with IBD who underwent colorectal surgery within an ERAS pathway. PubMed/MEDLINE, Cochrane Library, and Web of Science were searched. Endpoints included ERAS adoption, perioperative outcomes, and ERAS items more consistently reported, with associated evidence levels [EL] [PROSPERO CRD42021238653]. Results: Out of 217 studies, 16 totalling 2347 patients were included. The median number of patients treated was 50.5. Malnutrition and anaemia optimisation were only included as ERAS items in six and four articles, respectively. Most of the studies included the following items: drinking clear fluids until 2 h before the surgery, fluid restriction, nausea prophylaxis, early feeding, and early mobilisation. Only two studies included postoperative stoma-team and IBD-team evaluation before discharge. Highest EL were observed for ileocaecal Crohn's disease resection [EL2]. Median in-hospital stay was 5.2 [2.9-10.7] days. Surgical site infections and anastomotic leaks ranged between 3.1-23.5% and 0-3.4%, respectively. Complications occurred in 5.7-48%, and mortality did not exceed 1%. Conclusions: Evidence on ERAS in IBD is lacking, but this group of patients might benefit from consistent adoption of the pathway. Future studies should define if IBD-specific ERAS pathways and selection criteria are needed.Universitat Autònoma de Barcelona. Departament de Cirurgia 22022-01-0120222022-01-01Article de revisióhttp://purl.org/coar/resource_type/c_dcae04bcAMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/325058https://dx.doi.org/urn:doi:10.1093/ecco-jcc/jjab209reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.https://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3250582026-06-06T12:50:31Z
dc.title.none.fl_str_mv Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
A Systematic Review with Practical Implications
title Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
spellingShingle Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
Vigorita, V.
Inflammatory bowel disease
Crohn's disease
Crohn's disease Ulcerative colitis
Colorectal surgery
Enhanced recovery after surgery
title_short Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
title_full Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
title_fullStr Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
title_full_unstemmed Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
title_sort Inflammatory Bowel Diseases Benefit from Enhanced Recovery After Surgery [ERAS] Protocol
dc.creator.none.fl_str_mv Vigorita, V.
Cano-Valderrama, O.
Celentano, Valerio|||0000-0002-3562-9082
Vinci, Danilo
Millan, Monica
Spinelli, Antonino
Pellino, Gianluca|||0000-0002-8322-6421
author Vigorita, V.
author_facet Vigorita, V.
Cano-Valderrama, O.
Celentano, Valerio|||0000-0002-3562-9082
Vinci, Danilo
Millan, Monica
Spinelli, Antonino
Pellino, Gianluca|||0000-0002-8322-6421
author_role author
author2 Cano-Valderrama, O.
Celentano, Valerio|||0000-0002-3562-9082
Vinci, Danilo
Millan, Monica
Spinelli, Antonino
Pellino, Gianluca|||0000-0002-8322-6421
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona. Departament de Cirurgia
dc.subject.none.fl_str_mv Inflammatory bowel disease
Crohn's disease
Crohn's disease Ulcerative colitis
Colorectal surgery
Enhanced recovery after surgery
topic Inflammatory bowel disease
Crohn's disease
Crohn's disease Ulcerative colitis
Colorectal surgery
Enhanced recovery after surgery
description Background: Enhanced Recovery After Surgery [ERAS] is widely adopted in patients undergoing colorectal surgery, with demonstrated benefits. Few studies have assessed the feasibility, safety, and effectiveness of ERAS in patients with inflammatory bowel diseases [IBD]. The aim of this study was to investigate the current adoption and outcomes of ERAS in IBD. Methods: This PRISMA-compliant systematic review of the literature included all articles reporting on adult patients with IBD who underwent colorectal surgery within an ERAS pathway. PubMed/MEDLINE, Cochrane Library, and Web of Science were searched. Endpoints included ERAS adoption, perioperative outcomes, and ERAS items more consistently reported, with associated evidence levels [EL] [PROSPERO CRD42021238653]. Results: Out of 217 studies, 16 totalling 2347 patients were included. The median number of patients treated was 50.5. Malnutrition and anaemia optimisation were only included as ERAS items in six and four articles, respectively. Most of the studies included the following items: drinking clear fluids until 2 h before the surgery, fluid restriction, nausea prophylaxis, early feeding, and early mobilisation. Only two studies included postoperative stoma-team and IBD-team evaluation before discharge. Highest EL were observed for ileocaecal Crohn's disease resection [EL2]. Median in-hospital stay was 5.2 [2.9-10.7] days. Surgical site infections and anastomotic leaks ranged between 3.1-23.5% and 0-3.4%, respectively. Complications occurred in 5.7-48%, and mortality did not exceed 1%. Conclusions: Evidence on ERAS in IBD is lacking, but this group of patients might benefit from consistent adoption of the pathway. Future studies should define if IBD-specific ERAS pathways and selection criteria are needed.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article de revisió
http://purl.org/coar/resource_type/c_dcae04bc
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/325058
https://dx.doi.org/urn:doi:10.1093/ecco-jcc/jjab209
url https://ddd.uab.cat/record/325058
https://dx.doi.org/urn:doi:10.1093/ecco-jcc/jjab209
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
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