Key result
ERAS programs reduce complications, hospital stay, and costs in major upper abdominal surgery.
Why the study?
There are very few well-designed studies evaluating the usefulness of ERAS programs after major upper abdominal surgery despite their established feasibility and safety in colonic resection.
Do enhanced recovery after surgery (ERAS) programs improve outcomes in patients undergoing major upper abdominal surgery?
Population
Patients undergoing major upper abdominal surgery including pancreatic, hepatic, esophageal, and gastric surgery
Comparison
Enhanced recovery after surgery (ERAS) programs vs standard perioperative care
Design
Review of 23 articles
Authors
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May support ERAS use in major upper abdominal surgery to cut complications and costs; leaves open need for RCT confirmation.
Do enhanced recovery after surgery (ERAS) programs improve outcomes in patients undergoing major upper abdominal surgery?
ERAS programs appear beneficial in major upper gastrointestinal surgery by reducing complications, length of stay, and costs without compromising patient safety.
Dorcaratto et al. (2013) conducted a review in Pancreatic, hepatic, esophageal and gastric surgery. Enhanced recovery after surgery (ERAS) programs was evaluated on Complications, length of hospital stay, costs, mortality, and readmission rates. Implementation of ERAS programs in major upper abdominal surgery contributes to a reduction in complications, length of hospital stay, and costs without an increase in mortality or readmission rates.
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