A-fang ZHU, Yu-guang HUANG. Strategies of Anesthesia and Perioperative Recovery to Enhance the Gastrointestinal Function[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(6): 496-500. doi: 10.3969/j.issn.1674-9081.2018.06.004
Citation: A-fang ZHU, Yu-guang HUANG. Strategies of Anesthesia and Perioperative Recovery to Enhance the Gastrointestinal Function[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(6): 496-500. doi: 10.3969/j.issn.1674-9081.2018.06.004

Strategies of Anesthesia and Perioperative Recovery to Enhance the Gastrointestinal Function

doi: 10.3969/j.issn.1674-9081.2018.06.004
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  • Corresponding author: HUANG Yu-guang  Tel: 010-69152100, E-mail: garybeijing@163.com
  • Received Date: 2018-09-04
  • Publish Date: 2018-11-30
  • The concept of enhanced recovery after surgery (ERAS) is to optimize a series of perioperative measures to relieve surgical stress, reduce postoperative complications, shorten hospital stays, and finally accelerate the recovery. Gastroenterology is still the most studied and most successful field in the present research status of ERAS. However, many improperly implemented strategies of ERAS, like unresolved preoperative malnutrition, long fasting, perioperative hypervolemia, and overuse of opioid analgesics, could all damage the gastrointestinal function, and the impaired gastrointestinal function could impede the progress of ERAS by increasing postoperative complications and delaying hospital stays. Thus, it is critical to standardize the strategies of anesthesia and perioperative ERAS related to the gastrointestinal function in order to improve patient outcomes.
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  • [1] Thiele RH, Raghunathan K, Brudney CS, et al. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery[J]. Perioper Med (Lond), 2016, 5:24. doi:  10.1186/s13741-016-0049-9
    [2] McEvoy MD, Scott MJ, Gordon DB, et al. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery:part 1-from the preoperative period to PACU[J]. Perioper Med (Lond), 2017, 6:8. doi:  10.1186/s13741-017-0064-5
    [3] Scott MJ, McEvoy MD, Gordon DB, et al. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery:part 2-from PACU to the transition home[J]. Perioper Med (Lond), 2017, 6:7. doi:  10.1186/s13741-017-0063-6
    [4] Holubar SD, Hedrick T, Gupta R, et al. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on prevention of postoperative infection within an enhanced recovery pathway for elective colorectal surgery[J]. Perioper Med (Lond), 2017, 6:4. doi:  10.1186/s13741-017-0059-2
    [5] Moonesinghe SR, Grocott MPW, Bennett-Guerrero E, et al. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on measurement to maintain and improve quality of enhanced recovery pathways for elective colorectal surgery[J]. Perioper Med (Lond), 2017, 6:6. doi:  10.1186/s13741-017-0062-7
    [6] Wischmeyer PE, Carli F, Evans DC, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway[J]. Anesth Analg, 2018, 126:1883-1895. doi:  10.1213/ANE.0000000000002743
    [7] Hedrick TL, McEvoy MD, Mythen MMG, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on postoperative gastrointestinal dysfunction within an enhanced recovery pathway for elective colorectal surgery[J]. Anesth Analg, 2018, 126:1896-1907. http://www.ncbi.nlm.nih.gov/pubmed/29293183
    [8] Abola RE, Bennett-Guerrero E, Kent ML, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative joint consensus statement on patient-reported outcomes in an enhanced recovery pathway[J]. Anesth Analg, 2018, 126:1874-1882. doi:  10.1213/ANE.0000000000002758
    [9] Smith MD, McCall J, Plank L, et al. Preoperative carbohydrate treatment for enhancing recovery after elective surgery[J]. Cochrane Database Syst Rev, 2014, 8:CD009161. doi:  10.1002/14651858.CD009161/full
    [10] American Society of Anesthesiologists Committee. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration:Application to Healthy Patients Undergoing Elective Procedures:An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration[J]. Anesthesiology, 2017, 126:376-393. doi:  10.1097/ALN.0000000000001452
    [11] Qureshi SH, Rizvi SI, Patel NN, et al. Meta-analysis of colloids versus crystalloids in critically ill, trauma and surgical patients[J]. Br J Surg, 2016, 103:14-26. doi:  10.1002/bjs.9943
    [12] 陈凛, 陈亚进, 董海龙, 等.中华医学会外科学分会, 中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志, 2018, 38:1-20. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz201801001
    [13] 朱鸣雷, 黄宇光, 刘晓红, 等.老年患者围手术期管理北京协和医院专家共识[J].协和医学杂志, 2018, 9:36-41. doi:  10.3969/j.issn.1674-9081.2018.01.008
    [14] Williams JD, Wischmeyer PE. Assessment of perioperative nutrition practices and attitudes-A national survey of colorectal and GI surgical oncology programs[J]. Am J Surg, 2017, 213:1010-1018. doi:  10.1016/j.amjsurg.2016.10.008
    [15] Elia M, Normand C, Norman K, et al. A systematic review of the cost and cost effectiveness of using standard oral nutritional supplements in the hospital setting[J]. Clin Nutr, 2016, 35:370-380. doi:  10.1016/j.clnu.2015.05.010
    [16] Gustafsson UO, Oppelstrup H, Thorell A, et al. Adherence to the ERAS protocol is associated with 5-year survival after colorectal cancer surgery:a retrospective cohort study[J]. World J Surg, 2016, 40:1741-1747. doi:  10.1007/s00268-016-3460-y
    [17] Kurz A, Sessler DI. Opioid-induced bowel dysfunction:pathophysiology and potential new therapies[J]. Drugs, 2003, 63:649-671. doi:  10.2165/00003495-200363070-00003
    [18] Gan TJ, Diemunsch P, Habib AS, et al. Society for Ambulatory Anesthesia. Consensus guidelines for the management of postoperative nausea and vomiting[J]. Anesth Analg, 2014, 118:85-113. doi:  10.1213/ANE.0000000000000002
    [19] Ho YM, Smith SR, Pockney P, et al. A meta-analysis on the effect of sham feeding following colectomy:should gum chewing be included in enhanced recovery after surgery protocols?[J]. Dis Colon Rectum, 2014, 57:115-126. doi:  10.1097/DCR.0b013e3182a665be
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