Key result
Colorectal ERAS protocols are linked to shorter stays and fewer complications without increasing readmissions.
Why the study?
This review summarizes the historical development, core components, and current evidence base for ERAS in colorectal surgery, focusing on the 2025 ERAS Society guideline update, compliance-outcome relationships, and persisting implementation barriers.
Do Enhanced Recovery After Surgery (ERAS) protocols improve recovery and reduce complications in patients undergoing colorectal surgery?
Do Enhanced Recovery After Surgery (ERAS) protocols improve recovery and reduce complications in patients undergoing colorectal surgery?
ERAS protocols in colorectal surgery effectively reduce hospital length of stay and postoperative complications, though clinical benefits are highly dependent on protocol compliance.
ERAS protocols warrant adoption in colorectal surgery to shorten stays and cut complications; reinforces meta-analytic evidence on adherence-dependent benefits.
Enhanced Recovery After Surgery (ERAS) protocols are structured, evidence-based, multimodal perioperative care pathways originally developed for colorectal surgery in the early 2000s and now supported by four successive iterations of ERAS Society guidelines, most recently updated in 2025. ERAS routes seek to mitigate the surgical stress response and expedite functional recovery by combining preoperative optimization, minimally invasive and stress-reducing intraoperative procedures, and postoperative measures that prioritize early mobilization and feeding. This review summarizes the historical development, core components, and current evidence base for ERAS in colorectal surgery, with particular attention to the 2025 ERAS Society guideline update, compliance-outcome relationships, and persisting implementation barriers. ERAS implementation is consistently linked to shorter hospital stays and fewer postoperative complications without a corresponding rise in readmission or mortality across systematic reviews and meta-analyses. However, benefits are highly compliance-dependent, highlighting the significance of institutional audit and ongoing quality improvement.
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A. Prathap*1, C. Rifa Sidhik Fathima2, R. Preethi2, B. Rashmi Avanticaa2 (2026) conducted a review in Colorectal surgery. Enhanced Recovery After Surgery (ERAS) protocols was evaluated. ERAS protocols in colorectal surgery are consistently linked to shorter hospital stays and fewer postoperative complications without increased readmission or mortality.
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