Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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The concept of the enhanced recovery after surgery (ERAS), also called fast-track surgery, is a complex of modern multimodal strategies intended to reduce the perioperative stress response and achieve faster postoperative rehabilitation and rapid recovery of normal physiologic functions. The effect of ERAS on reduction of length of stay and postoperative complications has been proven by randomized controlled trials. The recommendations are supported by substantial evidence, and they are guaranteed by the ERAS society and included in the European Society of Parenteral and Enteral Nutritions (ESPEN) guidelines. The aim of this study was to evaluate the compliance with ERAS protocol in surgical departments in the Czech Republic. ⋯ Protocol of modern perioperative care recommended by ERAS and ESPEN societies should be respected in clinical practice in the Czech Republic. According to the national survey most of the surgical departments do not accept ERAS guidelines. The most challenging procedures include the inadequately long interval of perioperative fasting, use of mechanical bowel preparation and routine insertion of invasions. Early oral intake is, according to the answers, often replaced by artificial enteral or parenteral nutrition.