Standard perioperative management in gastrointestinal surgery

Langenbecks Arch Surg. 2011 Jun;396(5):591-606. doi: 10.1007/s00423-011-0782-y. Epub 2011 Mar 30.

Abstract

Introduction: The outcome of patients who are scheduled for gastrointestinal surgery is influenced by various factors, the most important being the age and comorbidities of the patient, the complexity of the surgical procedure and the management of postoperative recovery. To improve patient outcome, close cooperation between surgeons and anaesthesiologists (joint risk assessment) is critical. This cooperation has become increasingly important because more and more patients are being referred to surgery at an advanced age and with multiple comorbidities and because surgical procedures and multimodal treatment modalities are becoming more and more complex.

Objective: The aim of this review is to provide clinicians with practical recommendations for day-to-day decision-making from a joint surgical and anaesthesiological point of view. The discussion centres on gastrointestinal surgery specifically.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Aged
  • Analgesia / standards
  • Anesthesia, Epidural
  • Anesthesia, General / standards
  • Antibiotic Prophylaxis
  • Comorbidity
  • Cooperative Behavior
  • Critical Care / standards
  • Digestive System Surgical Procedures / standards*
  • Early Ambulation / standards
  • Fluid Therapy / standards
  • Gastrointestinal Neoplasms / surgery
  • Health Status Indicators
  • Humans
  • Interdisciplinary Communication
  • Length of Stay
  • Patient Care Team
  • Perioperative Care / standards*
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Venous Thromboembolism / etiology
  • Venous Thromboembolism / prevention & control