ArticlePediatric surgery international2025
An enhanced recovery after surgery (ERAS) pathway for laparoscopic gastrostomy insertion facilitates 23-h discharge.
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Advancing enhanced recovery after surgery protocols for pediatric laparoscopic-assisted small intestinal malformation repair.BMC pediatrics · 2026Article
- Laparoscopic Nissen fundoplication in children with a pre-existing gastrostomy: challenges and tips.Pediatric surgery international · 2026Article
- Laparoscopic gastrostomy insertion for long gap oesophageal atresia in newborn babies.Pediatric surgery international · 2025Article
- Enhanced recovery after surgery protocol implementation in pediatric Meckel's diverticulum resection: A clinical outcome study.World journal of gastrointestinal surgery · 2025Article
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Authors and funding
9 authors.
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Abstract
backgroundEnhanced recovery after surgery (ERAS) pathways has become well established for operations as diverse as hip replacement and coronary artery bypass. We designed an ERAS gastrostomy pathway in children based on best practice to facilitate 23-h discharge.
methodsAn ERAS pathway for laparoscopic Seldinger gastrostomy insertion was developed in 2018 with standardisation of all phases from first pre-operative visit to discharge. A series of videos uploaded to YouTube accessed via a QR code were created to educate parents. The post-operative feeding regime, nurse-led training and discharge plan were standardised on a single page so it could be shared and viewed easily on a smart phone.
resultsData were collected prospectively for isolated elective laparoscopic gastrotomy insertion from 2019 to 2022. A total of 155 patients were eligible for the ERAS gastrostomy pathway (median age: 3.9 years; median co-morbidities: 4). Length of post-operative stay was a median 26 h with 60/155 (39%) of patients leaving by 10 am the next morning. Post-operative complications were noted in 20 patients with 6 readmissions none of which were due to early discharge. Multiple non-clinical reasons were identified for delays to discharge.
conclusionsMultiple major co-morbidities were not a contraindication to following the ERAS. In total, 39% of the patients were discharged by 10 am the next morning. Key to success was having a single surgical technique, standardisation of pre- and post-operative pathways and nurse-led discharge. Further improvements should be possible by closer adherence to the guidelines.
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