From enhanced recovery after surgery to fastest recovery after surgery: How fast is too fast in gastrointestinal tumor surgery?

doi:10.4240/wjgs.v18.i7.119763

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jul 27, 2026; 18(7): 119763
Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.119763

From enhanced recovery after surgery to fastest recovery after surgery: How fast is too fast in gastrointestinal tumor surgery?

Bilal Turan, Mehmet Zafer Sabuncuoglu

Bilal Turan, Department of General Surgery, Faculty of Medicine, Suleyman Demirel University, Isparta 32260, Türkiye

Mehmet Zafer Sabuncuoglu, Department of General Surgery, Faculty of Medicine, Akdeniz University, Antalya 07070, Türkiye

Author contributions: Turan B conceived the editorial concept, performed the literature interpretation, and drafted the manuscript; Sabuncuoglu MZ critically revised the manuscript for important intellectual content and contributed to the conceptual refinement. Both authors approved the final version of the manuscript and agree to be accountable for all aspects of the work.

AI contribution statement: AI tools were used solely for language polishing and translation.

Conflict-of-interest statement: The authors declare no competing interests.

Corresponding author: Bilal Turan, MD, Assistant Professor, Researcher, Department of General Surgery, Faculty of Medicine, Suleyman Demirel University, Arastirma ve Uygulama Hastanesi, Isparta 32260, Türkiye. bturan117@gmail.com

Received: February 5, 2026
Revised: March 6, 2026
Accepted: April 22, 2026
Published online: July 27, 2026
Processing time: 172 Days and 20 Hours

Core Tip

Core Tip: Enhanced recovery after surgery (ERAS) has transformed perioperative care in gastrointestinal surgery, yet further acceleration of recovery appears to have reached a practical plateau. The emerging concept of fastest recovery after surgery (FRAS) challenges this limit by emphasizing synchronized optimization of perioperative interventions rather than simple acceleration of individual ERAS components. Importantly, FRAS should not be viewed as a universal protocol but as a selective strategy that depends on appropriate patient selection, institutional experience, and clearly defined safety thresholds.