• Ali Alassiri, Afaf AlTayeb, Hawazin Alqahtani, Lama Alyahya, Raghad AlKhashan, Waad Almutairi, Mohammed Alshawa, Saleh Al-Nassar, Zakaria Habib, and Saud AlShanafey.
• From the Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
• Ann Saudi Med. 2023 Jul 1; 43 (4): 227235227-235.

BackgroundEnhanced recovery after surgery (ERAS) protocols have improved treatment outcomes and have standardized patient care.ObjectivesIdentify the benefit of introducing the ERAS protocol for feeding after gastrostomy insertion with or without Nissen fundoplication, the effects on the time of reaching the full feeds the length of stay single-center experience, and complications associated with early feeding protocols.DesignRetrospective cohort study SETTING: Tertiary hospital METHODS: The study review included cases performed between 2015 and 2021 by four surgeons, and cases performed in 2022 by all surgeons using ERAS feeding protocol (P) in a tertiary hospital.Main Outcome MeasuresComparison the mean and mode of the length of stay (LOS) and the time until the patient reached full feed (TFF).Sample Size224 patients; 181 by the four surgeons and 43 cases by the ERAS protocol group.ResultsThe difference in the ERAS protocol from the four surgeons in TFF and LOS was statistically significant (P<.001). There was no noticeable difference in postoperative complications after introducing the ERAS protocol.ConclusionERAS improved the TFF and decreased the LOS without any increase in procedure complications. Increasing bed utilization and reducing costs were two benefits of reducing LOS at our hospital.LimitationsSingle-center study, which may not be generalizable. Multiple comorbidities. Travel time from different parts of the country could impact LOS. Retrospective and thus dependent on the accuracy of the information in file notes.Conflict Of InterestNone.

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