• Scott R Steele, Joshua Bleier, Brad Champagne, Imran Hassan, Andrew Russ, Anthony J Senagore, Patricia Sylla, and Alessio Pigazzi.
• Madigan Army Medical Center, Fort Lewis, WA, 98431, USA, harkersteele@mac.com.
• J. Gastrointest. Surg. 2014 Nov 1;18(11):1944-56.

AbstractIn order to truly make an impact on improving the cost effectiveness, and most importantly, the outcomes of patients undergoing colorectal surgery, all aspects of care need to be scrutinized, re-evaluated, and refined. To accomplish this, everything from the way we train surgeons to the adoption of a minimally invasive approach for colorectal disease, along with the use of adjunct intraoperative measures to decrease morbidity and mortality, may all need to be incorporated within an ERAS program. Only then will this approach lead the provider to a patient-centric care plan which can successfully reduce metrics such as morbidity, mortality, and length of stay (even with the obligatory readmission rate) and provide it all at a lower cost of care.

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