[Expert consensus on enhanced recovery concept for the application of standardized management on obstructive jaundice].

Abstract

Obstructive jaundice is characterized by complex management,more complications,slow recovery and long hospital stay due to special anatomy of the biliary tract system and the complicated pathophysiological changes.Enhanced recovery concept,which is the core of enhanced recovery after surgery,can be applied to the treatment of obstructive jaundice,which can alleviate stress responses,intervene early,reduce complications,shorten the length of hospital stay,reduce risk of readmission and average medical costs,its core concept consists in early removal of obstruction,recovering continuity of the biliary tract,normalizing the enterohepatic circulation of bile,accelerating the recovery the liver and other organs' function,and reducing postoperative complications.Based on this,Study Group of Biliary Tract Surgery in Chinese Society of Surgery of Chinese Medical Association,Hepatobiliary Committee of Bethune Charitable Foundation and Editorial Board of Chinese Journal of Surgery organized experts to make this consensus jointly. The consensus includes 17 recommendations about general contents,preoperative biliary drainage of obstructive jaundice and treatment of diseases related to obstructive jaundice.The consensus aims to provide a reference to the standardization and normalization of ERC in the treatment of obstructive jaundice in China.