ArticleLangenbeck's archives of surgery2026
Enhanced recovery protocols: compliance and outcome in elective vs. emergency colorectal surgery.
Article in Langenbeck's archives of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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8 authors.
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Abstract
purposeThe feasibility and impact of Enhanced Recovery after Surgery (ERAS) protocols in emergency settings remain poorly understood due to patient instability, limited preoperative optimization, and inconsistent protocol adherence. Therefore, this study aimed to evaluate ERAS implementation in emergency colorectal surgery compared to elective cases.
methodsUsing the ERAS
resultsThe number of elective cases was significantly higher than the number of emergency cases. Baseline characteristics and nature of the underlying disease appeared more favorable in the elective group. PSM analysis showed similar baseline characteristics between both groups. Within the emergency group the open approach was significantly higher compared to the elective group (p = 0.014). The compliance rate to ERAS was significantly lower in the emergency group compared to the elective group (71.12 ± 14.43 vs. 76.39 ± 12.59; p < 0.001). There was no significant difference in the rates of anastomotic leakage, major organ-specific complications, or mortality between both groups.
conclusionERAS implementation in emergency colorectal surgery is feasible despite lower compliance. Serious complications and mortality rates were similar to elective cases, highlighting the importance of developing specific ERAS protocols for emergency colorectal surgery.
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