Recent progress in the perioperative management in gastrointestinal surgery

Abstract

The last half century has witnessed a rapid progress in gastrointestinal surgery, and the development of minimally invasive technique has boosted gastrointestinal surgery into a new era. The concept of perioperative management becomes more comprehensive by the introduction of damage control surgery and early recovery after surgery(ERAS). One of the most prerequisite for successful operation is the correct diagnosis and accurate assessment and correction of malnutrition. A real mastery and proper selection of operative techniques and instruments based on the patients' preoperative condition could reduce tissue damage and postoperative complications. Postoperative analgesia facilitates early mobilization and recovery of patients, and may reduce posoperative cardiopulmonary complications. Early enteral feeding could promote recovery of gastrointestinal function, protect gastrointestinal barrier, prevent dysbiosis of gut flora, thus facilitate patients' recovery.