Enhanced recovery after surgery: Current research insights and future direction

doi:10.4240/wjgs.v9.i2.37

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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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World J Gastrointest Surg. Feb 27, 2017; 9(2): 37-45
Published online Feb 27, 2017. doi: 10.4240/wjgs.v9.i2.37

Enhanced recovery after surgery: Current research insights and future direction

Aliza Abeles, Richard Mark Kwasnicki, Ara Darzi

Aliza Abeles, Richard Mark Kwasnicki, Ara Darzi, Department of Surgery and Cancer, St Mary’s Hospital, Imperial College London, London W2 1NY, United Kingdom

Author contributions: Abeles A and Kwasnicki RM analysed the literature and wrote the manuscript; Darzi A reviewed and edited the manuscript.

Conflict-of-interest statement: The authors have no conflict of interest for this article.

Correspondence to: Dr. Richard Mark Kwasnicki, Department of Surgery and Cancer, St Mary’s Hospital, Imperial College London, 10^th Floor QEQM Building, Praed Street, London W2 1NY, United Kingdom. rmk107@imperial.ac.uk

Telephone: +44-20-33122124 Fax: +44-20-33126309

Received: July 4, 2016
Peer-review started: July 12, 2016
First decision: August 11, 2016
Revised: September 14, 2016
Accepted: November 1, 2016
Article in press: November 2, 2016
Published online: February 27, 2017
Processing time: 235 Days and 15.5 Hours

Core Tip

Core tip: Enhanced recovery after surgery (ERAS) together with laparoscopic surgery improves clinical outcomes in patients post-operatively. Prehabilitation is gaining evidence as a further method of enhancing post-operative recovery. Pre-operative programmes to improve physical function have been used and we review this early literature as well as some current issues within ERAS. Technology, which is already in use in the peri-operative period for interventions and monitoring could be used to further complement ERAS. Small, non-invasive devices which can monitor activity levels could help monitor compliance and post-operative patient activity levels as well as act as an intervention to encourage patients to increase their physical activity and thereby their post-operative outcomes.