Enhanced Recovery after Major Gastrointestinal Surgery


To create, implement, and study an Enhanced Recovery after Surgery (ERAS) clinical pathway. Specific aims: 1) improve patient outcomes and satisfaction through standardization of perioperative care and 2) accelerate patient recovery.




Enhanced Recovery after Surgery (ERAS) is a set of well-established best practice guidelines for patients undergoing a variety of intra-abdominal surgeries. The goals of the ERAS guidelines are to maintain normal physiologic function and to facilitate early postoperative recovery. These goals are met through a variety of interventions throughout the perioperative period, including: decreased use of preoperative bowel preps, carbohydrate drinks on the day of surgery, thoracic epidural analgesia, intraoperative goal directed fluid therapy, standardized anesthetic protocols, thromboembolic prophylaxis, early mobilization and oral intake in the postoperative period, and the limited use of urinary catheters and nasogastric tubes. ERAS protocols allow for standardization of perioperative care, which ultimately improves the quality of care delivered, accelerates recovery and safety, and optimizes utilization of health care resources.

Team Leaders

Rob Isaak, MD, Lavinia Kolarczyk, MD and H.J. Kim, MD


July 2014 - June 2015