Skip to main content

Enhanced Recovery in Emergency Abdominal Surgery

  • Chapter
  • First Online:
Emergency General Surgery in Geriatrics

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

Abstract

Enhanced recovery after surgery (ERAS) protocols define evidence-based treatment bundles in order to improve clinical outcomes and were established originally in elective surgery. Nevertheless, ERAS protocols were also implemented in emergency abdominal surgery, resulting in reduced hospital length of stay (H-LOS) and morbidity. However, the implementation of ERAS in emergency abdominal surgery was without impact on mortality. Elderly patients undergoing emergency abdominal surgery are also expected to profit from ERAS programs; however, scientific evidence is currently lacking.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fearon KC, Ljungqvist O, Von Meyenfeldt M, Revhaug A, Dejong CH, Lassen K, Nygren J, Hausel J, Soop M, Andersen J, Kehlet H. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005;24(3):466–77. https://doi.org/10.1016/j.clnu.2005.02.002.

    Article  CAS  PubMed  Google Scholar 

  2. Thorell A, MacCormick AD, Awad S, Reynolds N, Roulin D, Demartines N, Vignaud M, Alvarez A, Singh PM, Lobo DN. Guidelines for perioperative care in bariatric surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg. 2016;40(9):2065–83. https://doi.org/10.1007/s00268-016-3492-3.

    Article  CAS  PubMed  Google Scholar 

  3. Engelman DT, Ben Ali W, Williams JB, Perrault LP, Reddy VS, Arora RC, Roselli EE, Khoynezhad A, Gerdisch M, Levy JH, Lobdell K, Fletcher N, Kirsch M, Nelson G, Engelman RM, Gregory AJ, Boyle EM. Guidelines for perioperative care in cardiac surgery: enhanced recovery after surgery society recommendations. JAMA Surg. 2019;154(8):755–66. https://doi.org/10.1001/jamasurg.2019.1153.

    Article  PubMed  Google Scholar 

  4. Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, Rockall TA, Young-Fadok TM, Hill AG, Soop M, de Boer HD, Urman RD, Chang GJ, Fichera A, Kessler H, Grass F, Whang EE, Fawcett WJ, Carli F, Lobo DN, Rollins KE, Balfour A, Baldini G, Riedel B, Ljungqvist O. Guidelines for perioperative care in elective colorectal surgery: enhanced recovery after surgery (ERAS(R)) society recommendations: 2018. World J Surg. 2019;43(3):659–95. https://doi.org/10.1007/s00268-018-4844-y.

    Article  CAS  PubMed  Google Scholar 

  5. Nygren J, Thacker J, Carli F, Fearon KC, Norderval S, Lobo DN, Ljungqvist O, Soop M, Ramirez J, Enhanced Recovery After Surgery S. Guidelines for perioperative care in elective rectal/pelvic surgery: enhanced recovery after surgery (ERAS(R)) society recommendations. Clin Nutr. 2012;31(6):801–16. https://doi.org/10.1016/j.clnu.2012.08.012.

    Article  CAS  PubMed  Google Scholar 

  6. Nelson G, Bakkum-Gamez J, Kalogera E, Glaser G, Altman A, Meyer LA, Taylor JS, Iniesta M, Lasala J, Mena G, Scott M, Gillis C, Elias K, Wijk L, Huang J, Nygren J, Ljungqvist O, Ramirez PT, Dowdy SC. Guidelines for perioperative care in gynecologic/oncology: enhanced recovery after surgery (ERAS) society recommendations-2019 update. Int J Gynecol Cancer. 2019;29(4):651–68. https://doi.org/10.1136/ijgc-2019-000356.

    Article  PubMed  Google Scholar 

  7. Dort JC, Farwell DG, Findlay M, Huber GF, Kerr P, Shea-Budgell MA, Simon C, Uppington J, Zygun D, Ljungqvist O, Harris J. Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: a consensus review and recommendations from the enhanced recovery after surgery society. JAMA Otolaryngol Head Neck Surg. 2017;143(3):292–303. https://doi.org/10.1001/jamaoto.2016.2981.

    Article  PubMed  Google Scholar 

  8. Melloul E, Hubner M, Scott M, Snowden C, Prentis J, Dejong CH, Garden OJ, Farges O, Kokudo N, Vauthey JN, Clavien PA, Demartines N. Guidelines for perioperative care for liver surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg. 2016;40(10):2425–40. https://doi.org/10.1007/s00268-016-3700-1.

    Article  PubMed  Google Scholar 

  9. Lassen K, Coolsen MM, Slim K, Carli F, de Aguilar-Nascimento JE, Schafer M, Parks RW, Fearon KC, Lobo DN, Demartines N, Braga M, Ljungqvist O, Dejong CH, Society E, European Society for Clinical N, Metabolism, International Association for Surgical M, Nutrition. Guidelines for perioperative care for pancreaticoduodenectomy: enhanced recovery after surgery (ERAS(R)) society recommendations. Clin Nutr. 2012;31(6):817–30. https://doi.org/10.1016/j.clnu.2012.08.011.

    Article  PubMed  Google Scholar 

  10. Temple-Oberle C, Shea-Budgell MA, Tan M, Semple JL, Schrag C, Barreto M, Blondeel P, Hamming J, Dayan J, Ljungqvist O, Society E. Consensus review of optimal perioperative care in breast reconstruction: enhanced recovery after surgery (ERAS) society recommendations. Plast Reconstr Surg. 2017;139(5):1056e–71e. https://doi.org/10.1097/PRS.0000000000003242.

    Article  CAS  PubMed  Google Scholar 

  11. Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, Brunelli A, Cerfolio RJ, Gonzalez M, Ljungqvist O, Petersen RH, Popescu WM, Slinger PD, Naidu B. Guidelines for enhanced recovery after lung surgery: recommendations of the enhanced recovery after surgery (ERAS(R)) society and the european society of thoracic surgeons (ESTS). Eur J Cardiothorac Surg. 2019;55(1):91–115. https://doi.org/10.1093/ejcts/ezy301.

    Article  PubMed  Google Scholar 

  12. Cerantola Y, Valerio M, Persson B, Jichlinski P, Ljungqvist O, Hubner M, Kassouf W, Muller S, Baldini G, Carli F, Naesheimh T, Ytrebo L, Revhaug A, Lassen K, Knutsen T, Aarsether E, Wiklund P, Patel HR. Guidelines for perioperative care after radical cystectomy for bladder cancer: enhanced recovery after surgery (ERAS((R))) society recommendations. Clin Nutr. 2013;32(6):879–87. https://doi.org/10.1016/j.clnu.2013.09.014.

    Article  PubMed  Google Scholar 

  13. Gonenc M, Dural AC, Celik F, Akarsu C, Kocatas A, Kalayci MU, Dogan Y, Alis H. Enhanced postoperative recovery pathways in emergency surgery: a randomised controlled clinical trial. Am J Surg. 2014;207(6):807–14. https://doi.org/10.1016/j.amjsurg.2013.07.025.

    Article  PubMed  Google Scholar 

  14. Lohsiriwat V. Enhanced recovery after surgery vs conventional care in emergency colorectal surgery. World J Gastroenterol. 2014;20(38):13950–5. https://doi.org/10.3748/wjg.v20.i38.13950.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Shang Y, Guo C, Zhang D. Modified enhanced recovery after surgery protocols are beneficial for postoperative recovery for patients undergoing emergency surgery for obstructive colorectal cancer: a propensity score matching analysis. Medicine (Baltimore). 2018;97(39):e12348. https://doi.org/10.1097/MD.0000000000012348.

    Article  Google Scholar 

  16. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292–8. https://doi.org/10.1001/jamasurg.2016.4952.

    Article  PubMed  Google Scholar 

  17. Delaney CP, Fazio VW, Senagore AJ, Robinson B, Halverson AL, Remzi FH. ‘Fast track’ postoperative management protocol for patients with high co-morbidity undergoing complex abdominal and pelvic colorectal surgery. Br J Surg. 2001;88(11):1533–8. https://doi.org/10.1046/j.0007-1323.2001.01905.x.

    Article  CAS  PubMed  Google Scholar 

  18. Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery. 2011;149(6):830–40. https://doi.org/10.1016/j.surg.2010.11.003.

    Article  PubMed  Google Scholar 

  19. Wisely JC, Barclay KL. Effects of an enhanced recovery after surgery programme on emergency surgical patients. ANZ J Surg. 2016;86(11):883–8. https://doi.org/10.1111/ans.13465.

    Article  PubMed  Google Scholar 

  20. Jia Y, Jin G, Guo S, Gu B, Jin Z, Gao X, Li Z. Fast-track surgery decreases the incidence of postoperative delirium and other complications in elderly patients with colorectal carcinoma. Langenbeck’s Arch Surg. 2014;399(1):77–84. https://doi.org/10.1007/s00423-013-1151-9.

    Article  Google Scholar 

  21. Partelli S, Crippa S, Castagnani R, Ruffo G, Marmorale C, Franconi AM, De Angelis C, Falconi M. Evaluation of an enhanced recovery protocol after pancreaticoduodenectomy in elderly patients. HPB (Oxford). 2016;18(2):153–8. https://doi.org/10.1016/j.hpb.2015.09.009.

    Article  CAS  Google Scholar 

  22. Tejedor P, Pastor C, Gonzalez-Ayora S, Ortega-Lopez M, Guadalajara H, Garcia-Olmo D. Short-term outcomes and benefits of ERAS program in elderly patients undergoing colorectal surgery: a case-matched study compared to conventional care. Int J Color Dis. 2018;33(9):1251–8. https://doi.org/10.1007/s00384-018-3057-z.

    Article  Google Scholar 

  23. Wang Q, Suo J, Jiang J, Wang C, Zhao YQ, Cao X. Effectiveness of fast-track rehabilitation vs conventional care in laparoscopic colorectal resection for elderly patients: a randomized trial. Color Dis. 2012;14(8):1009–13. https://doi.org/10.1111/j.1463-1318.2011.02855.x.

    Article  CAS  Google Scholar 

  24. Paduraru M, Ponchietti L, Casas IM, Svenningsen P, Pereira J, Landaluce-Olavarria A, Font RF, Miguel IP, Ugarte-Sierra B. Enhanced recovery after surgery (ERAS)—the evidence in geriatric emergency surgery: a systematic review. Chirurgia (Bucur). 2017;112(5):546–57. https://doi.org/10.21614/chirurgia.112.5.546.

    Article  Google Scholar 

  25. Lavanchy JL, Holzgang MM, Haltmeier T, Candinas D, Schnuriger B. Outcomes of emergency abdominal surgery in octogenarians: a single-center analysis. Am J Surg. 2019;218(2):248–54. https://doi.org/10.1016/j.amjsurg.2018.11.023.

    Article  PubMed  Google Scholar 

  26. Rangel EL, Cooper Z, Olufajo OA, Reznor G, Lipsitz SR, Salim A, Kwakye G, Calahan C, Sarhan M, Hanna JS. Mortality after emergency surgery continues to rise after discharge in the elderly: predictors of 1-year mortality. J Trauma Acute Care Surg. 2015;79(3):349–58. https://doi.org/10.1097/TA.0000000000000773.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Beat Schnüriger .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lavanchy, J.L., Schnüriger, B. (2021). Enhanced Recovery in Emergency Abdominal Surgery. In: Latifi, R., Catena, F., Coccolini, F. (eds) Emergency General Surgery in Geriatrics . Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-62215-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-62215-2_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62214-5

  • Online ISBN: 978-3-030-62215-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics