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ERAS® et la réhabilitation précoce en chirurgie colorectale

ERAS® and enhanced recovery in colorectal surgery

  • Dossier Thématique / Thematic File
  • Published:
Côlon & Rectum

Résumé

La réhabilitation précoce en chirurgie, ou Enhanced Recovery After Surgery (ERAS®), est une prise en charge multidisciplinaire, standardisée, et basée sur la médecine factuelle. L’application de ses principes permet de diminuer significativement les complications postopératoires avec pour conséquence une diminution de la durée d’hospitalisation et des coûts de la santé. L’évolution postopératoire est étroitement liée à l’adhérence aux différents éléments composant un programme de réhabilitation précoce. Ainsi l’emploi d’un outil d’audit prospectif est essentiel afin de garantir une prise en charge optimale des patients.

Abstract

Enhanced recovery after surgery (ERAS®) is a multimodal, standardized and evidence-based perioperative care pathway.With ERAS®, postoperative complications are significantly lowered, and, as a secondary effect, length of hospital stay and health cost is reduced. Postoperative outcome is related to the compliance to the components of the enhanced recovery programme. Therefore, a prospective audit tool is essential in order to ensure an optimal management of the patient.

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Références

  1. Ljungqvist O. (2014) ERAS-Enhanced Recovery After Surgery: Moving Evidence-Based Perioperative Care to Practice. J Parenter Enteral Nutr 38:559–65

    Article  Google Scholar 

  2. Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al (2005) Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 24:466–77

    Article  CAS  PubMed  Google Scholar 

  3. Lassen K, Soop M, Nygren J, et al (2009) Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg 144: 961–9

    Article  PubMed  Google Scholar 

  4. Gustafsson UO, Scott MJ, Schwenk W, et al (2013) Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. W J Surg 37: 259–84

    Article  CAS  Google Scholar 

  5. Nygren J, Thacker J, Carli F, et al (2013) Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. W J Surg 37:285–305

    Article  CAS  Google Scholar 

  6. Sorensen LT, Karlsmark T, Gottrup F (2003) Abstinence from smoking reduces incisional wound infection: a randomized controlled trial. Ann Surg 238:1–5

    PubMed Central  PubMed  Google Scholar 

  7. Lindstrom D, Sadr Azodi O, Wladis A, et al (2008) Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. Ann Surg 248:739–45

    Article  PubMed  Google Scholar 

  8. Hubner M, Muller S, Schafer M, et al (2010) Impact of the nutritional risk score in fast-track colon surgery. Digest Surg 27:436–9

    Article  CAS  Google Scholar 

  9. Gustafsson UO, Ljungqvist O. (2011) Perioperative nutritional management in digestive tract surgery. Curr Op Clin Nutr Metabol Care 14: 504–9

    Article  CAS  Google Scholar 

  10. Nygren J, Soop M, Thorell A, et al (1998) Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr 17: 65–71

    Article  CAS  PubMed  Google Scholar 

  11. Hausel J, Nygren J, Lagerkranser M, et al (2001) A carbohydraterich drink reduces preoperative discomfort in elective surgery patients. Anesthes Analges 93: 1344–50

    Article  CAS  Google Scholar 

  12. Smith MD, McCall J, Plank L, et al (2014) Preoperative carbohydrate treatment for enhancing recovery after elective surgery. Cochrane database of systematic reviews 8CD009161

    Google Scholar 

  13. Guenaga KF, Matos D, Wille-Jorgensen P. (2011) Mechanical bowel preparation for elective colorectal surgery. Cochrane database of systematic reviews: CD001544.

    Google Scholar 

  14. Bretagnol F, Panis Y, Rullier E, et al (2010) Rectal cancer surgery with or without bowel preparation: The French GRECCAR III multicenter single-blinded randomized trial. Ann Surg 252:863–8

    Article  PubMed  Google Scholar 

  15. Vlug MS, Wind J, Hollmann MW, et al (2011) Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study). Ann Surg 254: 868–75

    Article  PubMed  Google Scholar 

  16. Kennedy RH, Francis EA, Wharton R, et al (2014) Multicenter randomized controlled trial of conventional versus laparoscopic surgery for colorectal cancer within an enhanced recovery programme: EnROL. J Clin Oncol: Official J Am Soc Clin Oncol 32:1804–11

    Article  Google Scholar 

  17. Petrowsky H, Demartines N, Rousson V, Clavien PA. (2004) Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Ann Surg 240:1074–84 discussion 84-5

    Article  PubMed Central  PubMed  Google Scholar 

  18. Nelson R, Edwards S, Tse B. (2005) Prophylactic nasogastric decompression after abdominal surgery. Cochrane database of systematic reviews: CD004929

    Google Scholar 

  19. Zmora O, Madbouly K, Tulchinsky H, et al (2010) Urinary bladder catheter drainage following pelvic surgery—is it necessary for that long? Dis Colon Rectum 53: 321–6

    Article  PubMed  Google Scholar 

  20. Zaouter C, Kaneva P, Carli F. (2009) Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia. Region Anesthes Pain Med 34:542–8

    Article  Google Scholar 

  21. Hubner M, Blanc C, Roulin D, et al (2014) Randomized Clinical Trial on Epidural Versus Patient-Controlled Analgesia for Laparoscopic Colorectal Surgery Within an Enhanced Recovery Pathway. Ann Surg 261:648–53

    Article  Google Scholar 

  22. Joshi GP, Bonnet F, Kehlet H (2013) Evidence-based postoperative pain management after laparoscopic colorectal surgery. Colorect Dis: Offic J Assoc Coloproctol Great Britain and Ireland 15:146–55

    Article  CAS  Google Scholar 

  23. Brandstrup B, Tonnesen H, Beier-Holgersen R, et al (2003) Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg 238: 641–8

    Article  PubMed Central  PubMed  Google Scholar 

  24. Hubner M, Schafer M, Demartines N, et al (2012) Impact of restrictive intravenous fluid replacement and combined epidural analgesia on perioperative volume balance and renal function within a Fast Track program. J Surg Res 173: 68–74

    Article  PubMed  Google Scholar 

  25. Varadhan KK, Lobo DN. (2010) A meta-analysis of randomised controlled trials of intravenous fluid therapy in major elective open abdominal surgery: getting the balance right. Proceed Nutr Soc 69: 488–98

    Article  Google Scholar 

  26. Srinivasa S, Lemanu DP, Singh PP, et al (2013) Systematic review and meta-analysis of oesophageal Doppler-guided fluid management in colorectal surgery. Br J Surg 100: 1701–8

    Article  CAS  PubMed  Google Scholar 

  27. Phan TD, D’Souza B, Rattray MJ, et al (2014) A randomised controlled trial of fluid restriction compared to oesophageal Doppler-guided goal-directed fluid therapy in elective major colorectal surgery within an Enhanced Recovery After Surgery program. Anaesthes Intens Care 42: 752–60

    CAS  Google Scholar 

  28. Zhuang CL, Ye XZ, Zhang CJ, et al (2013) Early versus traditional postoperative oral feeding in patients undergoing elective colorectal surgery: a meta-analysis of randomized clinical trials. Digest Surg 30: 225–32

    Article  Google Scholar 

  29. van den Heijkant TC, Costes LM, van der Lee DG, et al (2015) Randomized clinical trial of the effect of gum chewing on postoperative ileus and inflammation in colorectal surgery. Br J Surg 102: 202–11

    Article  PubMed  Google Scholar 

  30. Group EC. (2015) The Impact of Enhanced Recovery Protocol Compliance on Elective Colorectal Cancer Resection: Results From an International Registry. Ann Surg (Epub ahead of print)

    Google Scholar 

  31. Arsalani-Zadeh R, Ullah S, Khan S, Macfie J. (2010) Current pattern of perioperative practice in elective colorectal surgery; a questionnaire survey of ACPGBI members. Internat J Surg 8:294–8

    Article  Google Scholar 

  32. Hasenberg T, Keese M, Langle F, et al (2009) ’Fast-track’ colonic surgery in Austria and Germany—results from the survey on patterns in current perioperative practice. Colorect dis: offic J Assoc Coloproctol Great Britain and Ireland 11:162–7

    Article  CAS  Google Scholar 

  33. Gillissen F, Ament SM, Maessen JM, et al (2015) Sustainability of an Enhanced Recovery After Surgery Program (ERAS) in Colonic Surgery. W J Surg 39: 526–33

    Article  CAS  Google Scholar 

  34. Greco M, Capretti G, Beretta L, et al (2014) Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. W J Surg 38: 1531–41

    Article  Google Scholar 

  35. Roulin D, Donadini A, Gander S, et al (2013) Cost-effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery. Br J Surg 100: 1108–14

    Article  CAS  PubMed  Google Scholar 

  36. Lee L, Mata J, Ghitulescu GA, et al (2014) Cost-effectiveness of Enhanced Recovery Versus Conventional Perioperative Management for Colorectal Surgery. Ann Surg (Epub ahead of print)

    Google Scholar 

  37. Jakobsen DH, Sonne E, Andreasen J, Kehlet H. (2006) Convalescence after colonic surgery with fast-track vs conventional care. Colorect dis: offic J Assoc Coloproctol of Great Britain and Ireland 8: 683–7

    Article  CAS  Google Scholar 

  38. Bagnall NM, Malietzis G, Kennedy RH, et al (2014) A systematic review of enhanced recovery care after colorectal surgery in elderly patients. Colorect dis: offic J Assoc Coloproctol of Great Britain and Ireland 16: 947–56

    Article  CAS  Google Scholar 

  39. Roulin D, Blanc C, Muradbegovic M, et al (2014) Enhanced Recovery Pathway for Urgent Colectomy. W J Surg 38:2153–9

    Article  Google Scholar 

  40. Lohsiriwat V. (2014) Enhanced recovery after surgery vs conventional care in emergency colorectal surgery. WJG 20: 13950–5

    Article  PubMed Central  PubMed  Google Scholar 

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Authors and Affiliations

  1. Service de Chirurgie Viscérale, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, 1011, Lausanne, Suisse

    D. Roulin & N. Demartines

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  1. D. Roulin
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  2. N. Demartines
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Correspondence to N. Demartines.

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Roulin, D., Demartines, N. ERAS® et la réhabilitation précoce en chirurgie colorectale. Colon Rectum 9, 94–100 (2015). https://doi.org/10.1007/s11725-015-0577-3

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  • DOI: https://doi.org/10.1007/s11725-015-0577-3

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