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Clinical Practice Guidelines for Enhanced Recovery After ...

Clinical Practice Guidelines . Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons Joseph C. Carmichael, Deborah S. Keller, , Gabriele Baldini, Liliana Bordeianou, Eric Weiss, Lawrence Lee, , Marylise Boutros, James McClane, Liane S. Feldman, Scott R. Steele, 1 Department of Surgery, University of California, Irvine School of Medicine, Irvine, California 2 Department of Surgery, Baylor University Medical Center, Dallas, Texas 3 Department of Anesthesiology, McGill University, Montreal, Quebec, Canada 4 Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 5 Department of Colorectal Surgery, Cleveland Clinic Florida, Westin, Florida 6 Department of Surgery, McGill University, Montreal, Quebec, Canada 7 Norwalk Hospital, Western Connecticut Medical Group, Norwalk, Connecticut 8 Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio KEY WORDS: Colectomy; Enhanced Recovery ; Ileus; The ASCRS Clinical Practice Guidelines Committee is com- Proctectomy.

A. Preadmission Counseling 1. A preoperative discussion of milestones and discharge criteria should typically be performed with the patient before surgery. Grade of recommendation: strong rec-ommendation based on low-quality evidence, 1C. Standardized discharge criteria for patients undergo-ing colorectal surgery have been defined previously in

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