• U O Gustafsson, M J Scott, W Schwenk, N Demartines, D Roulin, N Francis, C E McNaught, J MacFie, A S Liberman, M Soop, A Hill, R H Kennedy, D N Lobo, K Fearon, O Ljungqvist, and Enhanced Recovery After Surgery Society.
• Department of Surgery, Ersta Hospital, Stockholm, Sweden. ulf.gustafsson@erstadiakoni.se
• Clin Nutr. 2012 Dec 1;31(6):783-800.

BackgroundThis review aims to present a consensus for optimal perioperative care in colonic surgery and to provide graded recommendations for items for an evidenced-based enhanced perioperative protocol.MethodsStudies were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group.ResultsFor most of the protocol items, recommendations are based on good-quality trials or meta-analyses of good-quality trials (quality of evidence and recommendations according to the GRADE system).ConclusionsBased on the evidence available for each item of the multimodal perioperative-care pathway, the Enhanced Recovery After Surgery (ERAS) Society, International Association for Surgical Metabolism and Nutrition (IASMEN) and European Society for Clinical Nutrition and Metabolism (ESPEN) present a comprehensive evidence-based consensus review of perioperative care for colonic surgery.Copyright © 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

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