Chinese gastrointestinal surgeons are building up our own high level evidence in evidence-based medicine, With tremendous clinical trials carrying out in gastrointestinal cancers. Besides, Standardized procedure of diagnosis and treatment should be promoted. More personalized schemes are needed. The model of multidisciplinary team can be more widely and deeply applied. In order to further optimize the surgical pathways and promote the clinical application of ERAS in surgery, it is important to raise awareness of the ERAS concept, advocate multi-disciplinary cooperation model, including surgery, anesthesiology, nursing, clinical nutrition, etc. to improve the application of ERAS in gastrointestinal surgery, promote medical and health management performance. And the concept of enhanced recovery after surgery should be more operable. To keep pace with the times, the gastrointestinal surgeons have to seek for innovative technology and new ideas.
ERAS, Multidisciplinary Team, Gastrointestinal Surgery, Anaesthesia
- Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Br J Surg 2014; 101(10):1209-29.
- Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg 2002; 183(6):630-41.
- Visioni A, Shah R, Gabriel E, et al. Enhanced Recovery After Surgery for Noncolorectal Surgery?: A Systematic Review and Meta-analysis of Major Abdominal Surgery. Ann Surg 2018; 267(1):57-65.
- Lassen K, Ljungqvist O, Dejong CH, et al. Pancreaticoduodenectomy: ERAS recommendations. Clin Nutr 2013; 32(5):870-1.
- Gianotti L, Biffi R, Sandini M, et al. Preoperative Oral Carbohydrate Load Versus Placebo in Major Elective Abdominal Surgery (PROCY): A Randomized, Placebo-controlled, Multicenter, Phase III Trial. Ann Surg 2018; 267(4):623-630.
- Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360(5):491-9.
- Kehlet H. Postoperative pain, analgesia, and recovery-bedfellows that cannot be ignored. Pain 2018; 159 Suppl 1:S11-S16.
- Makaryus R, Miller TE, Gan TJ. Current concepts of fluid management in enhanced recovery pathways. Br J Anaesth 2018; 120(2):376-383.
- Scott MJ, Baldini G, Fearon KC, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations. Acta Anaesthesiol Scand 2015; 59(10):1212-31.
- Tohme S, Simmons RL, Tsung A. Surgery for Cancer: A Trigger for Metastases. Cancer Res 2017; 77(7):1548-1552.
- Kim KH, Kim SH, Kim MC. How much progress has been made in minimally invasive surgery for gastric cancer in Korea?: a viewpoint from Korean prospective clinical trials. Medicine (Baltimore) 2014; 93(28):e233.
- Yang Z, Zheng Q, Wang Z. Meta-analysis of the need for nasogastric or nasojejunal decompression after gastrectomy for gastric cancer. Br J Surg 2008; 95(7):809-16.
- Willcutts KF, Chung MC, Erenberg CL, et al. Early Oral Feeding as Compared With Traditional Timing of Oral Feeding After Upper Gastrointestinal Surgery: A Systematic Review and Meta-analysis. Ann Surg 2016; 264(1):54-63.
- Joshi GP, Kehlet H, Group PW. Guidelines for perioperative pain management: need for re-evaluation. Br J Anaesth 2017; 119(4):703-706.
- Popping DM, Elia N, Van Aken HK, et al. Impact of epidural analgesia on mortality and morbidity after surgery: systematic review and meta-analysis of randomized controlled trials. Ann Surg 2014; 259(6):1056-67.
- Khazaei S, Rezaeian S, Soheylizad M, et al. Global Incidence and Mortality Rates of Stomach Cancer and the Human Development Index: an Ecological Study. Asian Pac J Cancer Prev 2016; 17(4):1701-4.
- Kehlet H. ERAS Implementation-Time To Move Forward. Ann Surg 2018; 267(6):998-999.
- Kehlet H. Enhanced Recovery After Surgery (ERAS): good for now, but what about the future? Can J Anaesth 2015; 62(2):99-104.
- Kehlet H, Joshi GP. Enhanced Recovery After Surgery: Current Controversies and Concerns. Anesth Analg 2017; 125(6):2154-2155.
- Meissner W, Huygen F, Neugebauer EAM, et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Curr Med Res Opin 2018; 34(1):187-196.
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