ERAS and the impact of sarcopenia on outcomes

ERAS and the impact of sarcopenia on outcomes

Pędziwiatr M, Pisarska M, Major P, Grochowska A, Matłok M, Przęczek K, Stefura T, Budzyński A, Kłęk S. Laparoscopic colorectal cancer surgery combined with enhanced recovery aftersurgery protocol (ERAS) reduces the negative impact of sarcopenia on short-termoutcomes. Eur J Surg Oncol. 2016 Jun;42(6):779-87.

What is already known:

The presence of sarcopenia (loss of skeletal muscle mass) or myosteatosis (fat infiltration in skeletal muscle) can lead to increased rates of morbidity and mortality in colorectal surgery. However the majority of studies are in open surgery.

What this paper adds:

This study of 124 patients undergoing laparoscopic colorectal surgery demonstrated that a comprehensive ERAS program can minimise the negative impact of sarcopenia and myosteatosis on all post-operative outcomes in colorectal cancer surgery.

Chris Jones, Guildford.