Enhanced recovery after surgery for inflammatory bowel disease surgery: A systematic review

TL;DR

This review shows that using ERAS protocols in IBD surgery can reduce hospital stays and complications compared to traditional methods.

Contribution

The study provides evidence supporting the integration of ERAS protocols into IBD surgical care despite existing challenges.

Findings

ERAS protocols reduced hospital stay and expedited bowel function return in IBD patients.

Implementation of ERAS decreased complications and readmissions compared to conventional care.

Key ERAS components included nutritional optimization and early feeding.

Abstract

Enhanced Recovery after Surgery (ERAS) protocols, though well-established across surgical disciplines, remains underutilized in
inflammatory bowel disease (IBD) surgeries due to complexities like malnutrition and immunosuppression. This systematic review evaluated
13 studies involving 3,539 patients to assess the impact of ERAS implementation in IBD surgery. Data consistently showed that ERAS
protocols reduced hospital stay, expedited bowel function return and decreased complications and readmissions compared to conventional
care. Key components included nutritional optimization, laparoscopic techniques, early feeding and multimodal analgesia. Despite
variability in adherence, the evidence supports integrating ERAS into IBD surgical management while advocating for further standardized
research.