The 6th World Congress of ERAS, Stockholm, Sweden, 2018

The 6th ERAS® Society World Congress was held at the Clarion Sign Hotel, Stockholm, Sweden, from the 23rd – 25th May 2018. Enjoying beautiful spring sunshine, the Congress was our most successful to date. The international standing of the Society was confirmed attracting 585 delegates worldwide. Whilst the majority came from Europe (73%), over 11% of delegates came from both North America and Asia, with smaller numbers from Oceania (2%), South America (2%), and Africa (<1%). Locally we had very strong support, attracting 137 Swedish delegates.

This was easily the best attended Congress to date with a nearly 50% increase in numbers from Lyon in 2017 (393) and Lisbon in 2016 (389). We also surpassed the numbers in Washington in 2015 (492) – which was a combined meeting with EBPOM and ASER. These delegate numbers reflect the growing worldwide interest for ERAS®. We also had 13 abstracts selected for oral presentation and 102 poster presentations (all published in Clinical Nutrition ESPEN 2018;25:166-209 with a link to the abstracts here).

On 23rd May, there was the ever-popular ERAS® course where delegates learnt about the relevant pathophysiology and perspectives from different healthcare professionals – surgeons, anaesthesiologists and nursing. In addition, clinical audit and speciality-specific areas were covered. There were also a number of other symposia – cardiac surgery, women’s health/gynecology, urology, nursing and AHP meeting during this first afternoon. A major highlight of the day was the official joining of ERAS® Cardiac Surgery to the ERAS® Society.

The Scientific Programme began on 24th May and following addresses by both the ERAS® Chairman, Professor Olle Ljungqvist and Professor Anders Thorell (Congress Chairman), new frontiers were discussed. A highlight was The Ken Fearon lecture, delivered by Professor Luca Gianotti, from Monza, entitled “Critical aspects of clinical trials in surgery and ERAS”.

The majority of this day focussed on new ERAS® frontiers (thoracic surgery, emergency laparotomy, pediatric surgery and cardiac surgery), perioperative anaemia, the challenging ERAS patient (diabetes, mobilisation with paraplegia, dementia and substance abuse) and the difficult problem of postoperative ileus also discussed. A popular session was the interactive discussion about complex cases. The day ended with presentations of the best six abstracts.

The final day’s highlight was The Henrik Kehlet lecture, delivered by Professor Pierre-Alain Clavien from Zurich, entitled “New concept of benchmarking in surgery”, tracing the evolution of Clavien-Dindo classification into the Comprehensive Complication Index (CCI). Other sessions included experts discussing epidurals versus wound catheters, delayed gastric emptying, bowel preparation, and barriers to the adoption of ERAS® worldwide. One area that has received little attention to date is what to do with the ERAS® patient after discharge from hospital? An entire session was devoted to this with presentations on nutrition, thromboprophylaxis, exercise training and structured nursing follow-up. The concepts of ERAS® and survival – both long and short term – and patient partnership were also discussed. Seven excellent rapid-fire presentations were also delivered.

The congress ended with presentation of the best paper prize to:

THE EFFECTS OF BETA-BLOCKER THERAPY ON EARLY MORTALITY FOLLOWING EMERGENCY COLON CANCER SURGERY

Rebecka Ahl 1, Peter Matthiessen 1, 2, Xin Fang 3, Yang Cao 1, 3, Gabriel Sjölin 1, 2, Rickard Lindgren 2, Olle Ljungqvist 1, 4, Shahin Mohseni 1, 2

1 School of Medical Sciences, Örebro University, 2 Department of Surgery, Örebro University Hospital, Örebro, 3 Institute of Environmental Medicine, 4 Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden

And the best rapid fire presentation to:

RISK FACTORS FOR DELAYED GASTRIC EMPTYING AFTER PANCREATICODUODENECTOMY AND NEED FOR ENTERAL FEEDING ACCESS IN THE ERAS® ERA

William B. Lyman 1, Michael Passeri 2, Russell C. Kirks 1, Allyson Cochran 2, John B. Martinie 2, Dionisios Vrochides 2, Erin H. Baker 2, David A. Iannitti 2.

1 Department of Surgery, Carolinas Medical Center, Charlotte, United States; 2 Division of HPB Surgery, Carolinas Medical Center, Charlotte, United States

What were the highlights? The two keynote lectures were, as always, enthralling. The wealth of excellent research is always heartening as superb worldwide talent is taking ERAS® forward. The satellite symposia? The ERAS® Course? The many excellent lectures? The joining of ERAS® Cardiac Society?

Full details of the Congress and our sponsors can be found here. Also, follow us on twitter @ErasSociety, we have increased our followers to nearly 1700! We had very good twitter activity with over 175 individuals sending over 800 tweets and using #ERAS2018, in all reaching nearly a quarter of a million people! Finally keep an eye for interviews and photos from the Congress which will be posted on the website the coming months.

We offer our sincere thanks to all involved in the delivery of an outstanding meeting, in particular the Congress President Anders Thorell and his local organising Committee, the speciality group chairs and the ERAS® executive committee. In addition many thanks go to our sponsors and our excellent congress planners, MCI Suisse.

Scientific programme – ERAS 2018 – Final Programme – final

Click here to review accepted abstracts

Click here to view 2018 videos


The 5th World Congress of ERAS, Lyon, France, 2017

The 5th ERAS® World Congress was held between 10th-12th May 2017, at the Centre De Congres, Lyon, France.

As in previous years, it consisted of the ERAS® Course followed by the Scientific Programme. Throughout the Congress, they were many excellent lectures from experts from around the World including Europe, North America and Asia.

The ERAS® course was again a popular event and sold out with the delegates learning about the relevant physiology underpinning the concepts of ERAS®, viewed from many perspectives – surgeon, anaesthesiologist, nurse, manager and of course, the patient. This year it was condensed into an afternoon course. There was a step by step approach to implementation of ERAS® process and the evidence behind the many elements of care that make up modern ERAS® process, including not only the immediate perioperative steps, but also the importance of preoperative patient education and postoperative audit and quality maintenance. There were also separate specialist talks on Gynaecology, Urology and Orthopaedics.

The same afternoon there were specialist group symposia for Urology, Women’s Health and Nursing, all of which proved very popular.

The Scientific Programme started the next day, with a session devoted to the pathophysiological basis of ERAS, addressing key areas of the stress response and how it can be modified, opioids and cancer free survival with other aspects of pain control. The difficult areas of fluid therapy and nutrition were also discussed.

The prestigious Henrik Kehlet Lecture by Professor Greet van den Berghe from Leuven, entitled The role of autophagy in the metabolism and outcomes after surgery gave a scholarly insight into postoperative pathophysiological processes

The afternoon session had well attended sessions on New Themes in ERAS®, Recovery beyond the hospital and Strategies for the ER implantation. The day closed with 6 excellent abstract research presenations, following which there was a highly enjoyable drinks reception, where everyone was able to network, view posters and meet with our sponsors.

The second day of the Congress began with How ERAS® will change the Future, followed by a session entitled: Do the Guidelines Work? The Transition from theory to Practice. Following coffee there were two popular debates: Bowel Preparation is unnecessary in Colon and Rectum Surgery (proposal agreed) and Epidural Analgesia is obsolete within ERAS programmes (proposal rejected). The morning session closed with 6 ‘rapid fire’ oral research presentations.

The afternoon session started with Ken Fearon lecture, in memory Co-founder and Chairman of the ERAS Society Board, who sadly died last September (http://erassociety.org/wp-content/uploads/2016/09/Ken-Fearon.pdf) In fitting memory, Professor Alessandro Laviano, from Rome, gave an outstanding and indeed fitting tribute to Ken entitled Cachexia and the long-term outcome of surgical cancer patients. Even for those not fortunate enough to have met Ken it was still a very poignant and moving session.

The Congress concluded with a session on reducing risks, followed a concluding lecture by our ERAS society Chairman Professor Ljungqvist entitled the ongoing surgical revolution, with the last ten minutes devoted to Professor Ljungqvist and our Scientific Chairman Professor Dileep Lobo award prizes to Dr Nicolò Pecorelli, wining the Rapid Fire Presentations entitled Does The Risk Of Postoperative Complications Affect The Adherence To Enhanced Recovery Pathways After Pancreaticoduodenectomy?, and Mr Nader Frances for the best abstract entitled Can Hydrogen Breath Test Predict Postoperative Ileus Following Laparoscopic Colorectal Surgery And Within ERAS Programme?

What were the highlights of the Congress? It is impossible to say with nearly three days with world experts, an enthusiastic and engaged delegates and talented researchers all meeting to exchange experiences. Certainly, the Henrik Kehlet and Ken Fearon Lectures were outstanding. In addition, the presentation of new and original work and ideas is always a very exciting and were of a very high standard this year, for it is with these talented researchers that the evidence base which underpins the future success is fundamental for ERAS®.

The loss of Professor Ken Fearon was palpable at times, yet the legacy of the society he co-founded with Professor Olle Ljungqvist lives on as a fitting tribute to a great man.

The huge success of the Congress is made possible only by the hard work of the Organising Committee and the Local Committee, to whom we express our sincere gratitude. In addition, we are most grateful to the sponsorship we receive from industry and the expert assistance from MCI.

Scientific programme – 5th World Congress of ERAS Final Programme

Click here to review accepted abstracts

Click here to view conference videos


The 4th World Congress of ERAS®, Lisbon, Portugal, 2016

ERAS_2016_save_the_date_580The 4th ERAS® World Congress was held between 27th-30th April 2016, at the Lisbon Marriot Hotel, Portugal and was arguably the most successful to date. As in previous years, it consisted of the ERAS® Course followed by the Scientific Programme. Throughout the Congress, there were many high class and thought-provoking lectures from experts from around the World including North America, Latin America, Australia and South Africa and Europe.

There were nearly 400 registrations for the Congress, with 2/3 of the delegates attending from European Continent, nearly 15% from North America, but with significant numbers too from Asia (8%), South America (5%), Oceania (3%) and Middle East (2%). On a country by country basis, our hosts Portugal provided the most delegates (58) but closely followed by the UK, US, Sweden and Switzerland. The next countries in order of delegates registered were Spain, Italy, Norway, France and Brazil.

The ERAS® course was again a popular event, with the delegates learning about the relevant physiology underpinning the concepts of ERAS, viewed from many perspectives – surgeon, anaesthesiologist, nurse, manager and of course, the patient. There was a step by step approach to implementation of ERAS process and the evidence behind the many elements of care that make up modern ERAS process, including not only the immediate perioperative steps, but also the importance of preoperative patient education and postoperative audit and quality maintenance.

The Scientific Programme some outstanding individual lectures. Of particular note, the prestigious Henrik Kehlet Lecture was given by Professor Rinaldo Bellomo from The University of Melbourne, Australia on “Postoperative urinary output”, and The ERAS Society Lecture was delivered by Professor Paul Greenhaff, from the University of Nottingham, UK on “Immobilisation and muscle function”. Both lectures were superb insights into fundamental physiology and pathophysiology.

There was a popular parallel session on urology and the Delphi process for implementation of guidelines. There was also a session devoted to entirely to Nursing Practice. In addition, new technology and the measurement of the outcomes to which all in ERAS strive (patients, doctors and other healthcare providers and the healthcare purchaser) was debated. The importance of continual challenges of dogma was examined, as was the management of more complicated situations within ERAS, such as diabetes, the elderly and the emergency patient. It is always interesting to return to original research and have papers presented that changed the practice of the experts, as well as how this research is translated into outcome. It was a sign of the worldwide spread of ERAS that there were sessions on newer speciality areas, such as gynaecology, head and neck, breast reconstruction and liver surgery.

The presentation of new and original work and ideas is always a very exciting and thought-provoking area of the ERAS® Congress. Both the oral and poster presentations were again very popular and remind us that whilst ERAS is well established, there are many areas from which we are still learning and that require detailed study and analysis. There were many excellent presentations, with the prize wining oral presentation won by Professor Tom Wainwright (UK) for his team’s work in knee and hip replacements, entitled “How long before routine next-day discharge for primary hip and knee replacement patients in the United Kingdom”.

Scientific programme –  The 4th World Congress of ERAS®

Click here to review accepted abstracts

 


The 3rd World Congress of ERAS®, Washington, U.S.A., 2015

HISTORY 7The 3rd World congress of ERAS® Society was held in Washington DC as a joint meeting between the ERAS® Society, ASER and EBPOM.

447 delegates joined from 33 countries. The Henrik Kehlet Lecture “Economics of ERAS®” was delivered by Anthony Senagore, Cleveland, Ohio, USA and the ERAS Society lecture “Physiology and ageing and its effect of recovery” was delivered by K Sree Nair, Rochester, Minn USA.

Scientific programme –  The 3rd World Congress of ERAS®

Abstracts – Abstracts of the World Congress of Enhanced Recovery After Surgery and Perioperative Medicine, Washington, DC, USA, May 9-12, 2015

 

 


The 2nd World Congress of ERAS®, Valencia, Spain, 2014

HISTORY 6The 2nd World congress of ERAS® Society was held in Valencia, Spain with delegates from more than 458 delegates from 38 countries and all main continents represented.

The Kehelt lecture “From Fast Track to ERAS®. A Metabolic journey” was delivered by Franco Carli, Montreal, Canada and the ERAS® Society Lecture “Measuring cognition after anesthesia and surgery” by Stanton Newman, London UK.

Scientific programme – The 2nd World Congress of ERAS®

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The 1st World Congress of ERAS®, Cannes, France, 2012

HISTORY 5The 1st International ERAS® World Society congress was held in Cannes France with 237 delegates from 28 countries. This attracted the leading investigators in Enhanced Recovery and delegates from over 30 countries and 6 continents.

The 1st Henrik Kehlet lecture “The Final Frontiers” was delivered by Professor Henrik Kehlet, Copenhagen, Denmark and the ERAS Society Lecture “Muscle Function and Postoperative Recovery” delivered by Professor Ian McDonald, Nottingham UK.

Click here for the conference videos