Postoperative Complications After Colorectal Surgery: Where Are We in the Era of Enhanced Recovery?

AbstractPurpose of ReviewIndividual elements in enhanced recovery pathways may be associated with specific complication risks. In this review, we highlight three areas of controversy surrounding complications in enhanced recovery: (1) whether enhanced recovery is associated with increased rates of acute kidney injury, (2) whether NSAID use is associated with anastomotic leaks, and (3) whether early urinary catheter removal is justified following colorectal surgery.Recent FindingsAcute kidney injury has been reported at several institutions following implementation of enhanced recovery pathways highlighting the importance of institutional data tracking. NSAID use has been implicated in anastomotic leak rates for non-elective colorectal procedures, and criteria for its use should be implemented. Early urinary catheter removal has been supported despite increased urinary retention rates in order to decrease urinary tract infections.SummaryEnhanced recovery protocols will continue to evolve, and risk profiles associated with individual elements should continue to be evaluated.
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research