From clinical guidelines to practice: The nutrition elements for enhancing recovery after colorectal surgery

Nutr Clin Pract. 2022 Apr;37(2):300-315. doi: 10.1002/ncp.10751. Epub 2021 Aug 2.


The Enhanced Recovery After Surgery (ERAS) Care System improves patient outcomes. The ERAS Protocol describes multimodal, evidence-based processes that are bundled into >20 care elements, and the ERAS Implementation Program provides strategies to guide the successful adoption of the care elements. Although formal training is essential to implement ERAS correctly, with this article we aim to bridge the gap between the nutritionally relevant care elements of the protocol and their implementation for colorectal surgery. This article also describes how dietitians can support optimal patient outcomes by playing an active role in implementing, monitoring, and evaluating ERAS practices.

Keywords: ERAS; clinical guidelines; clinical protocols; colorectal surgery; nutrition therapy; oral nutrition supplements; prehabilitation.

Publication types

  • Review

MeSH terms

  • Colorectal Surgery*
  • Digestive System Surgical Procedures*
  • Enhanced Recovery After Surgery*
  • Humans
  • Perioperative Care / methods
  • Postoperative Complications