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The Role of Enhanced Recovery After Surgery (ERAS) Protocols in Improving Postoperative Outcomes in Gastrointestinal Surgery

Mubashira AhmadSpecialist Registrar, Department of General Surgery, Hayatabad Medical Complex MTI, Peshawar, PakistanSayed Zamen AliAssistant Professor, Department of Surgery, A Unit, Divisional Headquarters Teaching Hospital / KIDS Kohat, PakistanShabab HussainAssociate Professor, Department of Surgery, DHQ Teaching Hospital, Khyber Medical University Institute of Medical Sciences (KIMS), Kohat, PakistanZainab SultanaMedical Officer, Department of Medicine, Mohi-ud-Din Teaching Hospital, Mirpur, Azad Jammu and Kashmir, PakistanZulfiqar Ali BhattiAssociate Professor, Department of Anatomy, Khairpur Medical College, Khairpur Mirs, PakistanMaxsiddinov Ortiq XudayshukurovichDepartment of Human Anatomy, Samarkand State Medical University, Samarkand, UzbekistanMuhammad Siddique KhanAssistant Professor, Department of Surgery, Khyber Teaching Hospital, Peshawar, PakistanNazirxujayev Fozilxon Anvarxon o‘g‘liAssistant Department of Hospital Therapy (Laboratory) Ferg‘ona Jamoat Salomatligi Tibbiyot Instituti Uzbekistan

2026

ABI

Annotatsiya

Background: Enhanced Recovery After Surgery (ERAS) protocols are evidence-based perioperative care pathways designed to reduce surgical stress, accelerate recovery, and improve clinical outcomes following major surgery. Objective: To evaluate the role of ERAS protocols in improving postoperative outcomes among patients undergoing gastrointestinal surgery. Methods: This comparative cross-sectional study was conducted at Hayatabad Medical Complex MTI Peshawar from august 2024 to august 2025 and included 220 patients undergoing elective gastrointestinal surgery. Patients were divided into ERAS (n=110) and conventional care (n=110) groups. Results: The mean age of patients was 52.6 ± 13.4 years, and 60.0% were male. Patients managed with ERAS protocols demonstrated significantly earlier oral intake (18.6 ± 5.4 vs. 42.3 ± 9.8 hours; p<0.001), earlier bowel movement (2.1 ± 0.8 vs. 3.7 ± 1.1 days; p<0.001), shorter hospital stay (5.2 ± 1.7 vs. 8.6 ± 2.4 days; p<0.001), lower pain scores (3.8 ± 1.3 vs. 5.9 ± 1.8; p<0.001), and higher rates of early mobilization (85.5% vs. 46.4%; p<0.001). Overall postoperative complications were significantly lower in the ERAS group (17.3% vs. 34.5%; p=0.004), including reduced surgical site infections, pulmonary complications, and postoperative ileus. ERAS adherence was strongly associated with improved postoperative outcomes (p<0.001). Conclusion: ERAS protocols significantly enhance postoperative recovery and reduce complications following gastrointestinal surgery.

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Identifikatorlar

DOI: 10.25258/ijddt.16.61s.19

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