Aim

To systematically review literature and to assess the status of the ERAS protocol in pediatric populations undergoing gastrointestinal surgery.

Methods

Literature research was carried out for papers comparing ERAS and traditional protocol in children undergoing gastrointestinal surgery. Data on complications, hospital readmission, length of hospital stay, intraoperative fluid volume, post-operative opioid usage, time to defecation, regular diet, intravenous fluid stop, and costs were collected and analyzed. Analyses were performed using OR and CI 95%. A p value <0.05 was considered significant.

Results

A total of 8 papers met the inclusion criteria, with 943 included patients. There was no significant difference in complication occurrence and 30-day readmission. Differently, length of stay, intraoperative fluid volume, post-operative opioid use, time to first defecation, time to regular diet, time to intravenous fluid stop, and costs were significantly lower in the ERAS groups.

Conclusions

ERAS protocol is safe and feasible for children undergoing gastrointestinal surgery. Without any significant complications and hospital readmission, it decreases length of stay, ameliorates the recovery of gastrointestinal function, and reduces the needs of perioperative infusion, post-operative opioid administration, and costs.

中文翻译：

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儿科患者胃肠手术后加速康复 (ERAS)：系统评价和荟萃分析

 目的

系统回顾文献并评估 ERAS 方案在接受胃肠手术的儿科人群中的现状。

 方法

对儿童胃肠手术中 ERAS 与传统方案进行比较的论文进行了文献研究。收集并分析有关并发症、再入院、住院时间、术中液体量、术后阿片类药物使用、排便时间、规律饮食、静脉输液停止和费用的数据。使用 OR 和 CI 95% 进行分析。 p值<0.05 被认为是显着的。

 结果

符合纳入标准的论文共有8篇，纳入患者943例。并发症发生率和 30 天再入院率没有显着差异。不同的是，ERAS 组的住院时间、术中液体量、术后阿片类药物使用、首次排便时间、正常饮食时间、停止静脉输液时间和费用均显着较低。

 结论

ERAS方案对于接受胃肠手术的儿童来说是安全可行的。在没有任何明显并发症和再入院的情况下，它减少了住院时间，改善了胃肠功能的恢复，并减少了围手术期输液、术后阿片类药物的使用和费用。