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Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018

Gustafsson, U. O.; Scott, M. J.; Hubner, M.; Nygren, J.; Demartines, N.; Francis, N.; Rockall, T. A.; Young-Fadok, T. M.; Hill, A. G.; Soop, M.; de Boer, H. D.; Urman, R. D.; Chang, G. J.; Fichera, A.; Kessler, H.; Grass, F.; Whang, E. E.; Fawcett, W. J.; Carli, F.; Lobo, D. N.; Rollins, K. E.; Balfour, A.; Baldini, G.; Riedel, B.; Ljungqvist, O.


U. O. Gustafsson

M. J. Scott

M. Hubner

J. Nygren

N. Demartines

N. Francis

T. A. Rockall

T. M. Young-Fadok

A. G. Hill

M. Soop

H. D. de Boer

R. D. Urman

G. J. Chang

A. Fichera

H. Kessler

F. Grass

E. E. Whang

W. J. Fawcett

F. Carli

Professor of Gastrointestinal Surgery

K. E. Rollins

A. Balfour

G. Baldini

B. Riedel

O. Ljungqvist


Background: This is the fourth updated Enhanced Recovery After Surgery (ERAS®) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS® protocol.
Methods: A wide database search on English literature publications was performed. Studies on each item within the protocol were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts and examined, reviewed and graded according to GRADE Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.
Results: All recommendations on ERAS® protocol items are based on best available evidence; good-quality trials, meta-analyses of good quality trials or large cohort studies. The level of evidence for the use of each item is presented accordingly.
Conclusions: The evidence base and recommendation for items within the multimodal perioperative care pathway are presented by the ERAS® Society in this comprehensive consensus review.


Gustafsson, U. O., Scott, M. J., Hubner, M., Nygren, J., Demartines, N., Francis, N., …Ljungqvist, O. (2019). Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World Journal of Surgery, 43(3), 659-695.

Journal Article Type Article
Acceptance Date Oct 14, 2018
Online Publication Date Nov 13, 2018
Publication Date 2019-03
Deposit Date Dec 13, 2018
Publicly Available Date Dec 13, 2018
Journal World Journal of Surgery
Print ISSN 0364-2313
Electronic ISSN 1432-2323
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 43
Issue 3
Pages 659-695
Keywords Colorectal surgery; enhanced recovery after surgery; fast-track; guidelines; perioperative care
Public URL
Publisher URL


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