Metaanálisis de protocolos ERAS para el tratamiento perioperatorio de la cirugía colorrectal pediátrica
Topic overview
Meta-analysis of 1,298 pediatric patients demonstrates ERAS protocols in colorectal surgery significantly reduce hospital stay, costs, intraoperative fluids, and opioid use while accelerating return of bowel function and oral intake. Complication rates remain comparable to traditional care, supporting ERAS adoption in pediatric populations.
Key takeaways
- ERAS protocols significantly reduce intraoperative fluids and postoperative opioid use in pediatric colorectal surgery patients.
- ERAS accelerates recovery: faster return of bowel function (12h earlier), enteral feeding (21h earlier), and oral intake (1.4d earlier).
- ERAS reduces hospital length of stay by 1.5 days and decreases hospital costs without increasing postoperative complications.
- 30-day readmission rates may be lower with ERAS (RR 0.61), though sensitivity analysis showed this result was less robust.
- Meta-analysis of 1,298 pediatric patients demonstrates ERAS is safe and effective for accelerating rehabilitation after colorectal surgery.
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