Uptake of ERAS pathways for pancreatic surgery have been slow and impacted by low compliance. To explore global awareness, perceptions and practice of ERAS  peri-pancreatoduodenectomy (PD), a structured, web-based survey (EPSILON) was administered through the ERAS society and IHPBA membership. There were 140 respondants. Reduced medical complications, cost and hospital length of stay, and improved […]

What is already known: Higher compliance (adherence) to ERAS pathways has been shown in different types of surgery to improve postoperative outcomes. Data on this subject in ERAS for liver surgery remain scant. What this paper adds: This before-and-after study from the University of Rochester Medical Center discusses the impact of early postoperative compliance to […]

Expert review Delayed return of gastrointestinal function after hepatectomy in an ERAS program: incidence and risk factorsSara Arfa et al. HPB. 2022 (1) What is already known: Oral nutrition can be initiated early after hepatectomy, and ERAS guidelines recommend oral nutrition after liver surgery (2). Moreover, one RCT and one recent meta-analysis showed that routine […]

Enhanced Recovery After Surgery in Octogenarians undergoing hepatopancreatobiliary surgery Jordan N Robinson, Joshua M K Davis, Ryan C Pickens, Allyson R Cochran, Lacey King, Patrick Salibi,, David A Iannitti, John B Martinie, Erin H Baker, Lee M Ocuin, Dionisios Vrochides. Am Surg 2021 Dec 4;31348211054063.doi:10.1177/00031348211054063 What is already known: The application of ERAS after hepato-pancreato-biliary […]

Impact of 2016 Enhanced Recovery After Surgery (ERAS) Recommendations on Outcomes after Hepatectomy in Cirrhotic and Non-Cirrhotic Patients Thibault Lunel et al. World J Surg. 2021 (6)   What is already known: ERAS has been shown to be safe and to improve outcomes in liver surgery (1,2). Several studies and meta-analyses have shown that ERAS […]

Dr. Didier Roulin is a senior fellow in Hepato-Pancreato-Biliary (HPB) surgery at Lausanne University Hospital (CHUV) in Switzerland. He is also holding a position of senior lecturer and Privat Docent at Lausanne University. He has been actively involved in Enhanced Recovery After Surgery (ERAS) for more than ten years with more than twenty publications and […]

Dr Gaëtan-Romain Joliat graduated from the medical school of the University of Lausanne (UNIL) in Switzerland and is also certified by the Educational Commission for Foreign Medical Graduates (ECFMG) in the United States. He received his medical doctorate (MD) in 2015 from the same university. He obtained the Swiss board certification (FMH) in general surgery […]