Archives of Metabolic Syndrome

Archives of Metabolic Syndrome

Open Access
ISSN: 2771-8972
Original Research Article

The Influence of Perioperative Nutrition on the Success of the ERAS® Methodology in Patients Undergoing Elective Colorectal Surgery

Authors: Adriana Rodrigues, Letícia Conceição, Lino Mendes, Bruno Sousa.

DOI: 10.33425/2771-8972.1017


Abstract

The Enhanced Recovery After Surgery (ERAS®) protocol integrates multidisciplinary strategies, including perioperative nutrition, to optimize recovery in elective colorectal surgery. This prospective observational study at Hospital Dr. Nélio Mendonça, in Portugal, evaluated its impact on 23 patients (mean age 66±12.1 years, 65% male), compared to pre-ERAS® care (historical LOS=13 days). Nutritional risk (NRS-2002 ≥3 in 47.8%), BMI (mean 26.2±4.5 kg/m²), postoperative complications, length of hospital stay (LOS), and quality of life (EORTC QLQ-CR29, 1 week to 1 month post-discharge) were assessed. Nearly half (47.8%) were at nutritional risk, associated with longer LOS (p=0.05). Mean LOS was 8±6.5 days (reduced vs. pre-ERAS®), with 39 complications (mainly hemorrhagic, gastrointestinal, metabolic). Quality-of-life scores indicated mild-to-moderate symptoms and satisfactory functional recovery. Perioperative nutrition within ERAS® significantly reduces LOS and complications, underscoring the nutritionist's essential role in multidisciplinary teams and supporting wider protocol implementation in Portuguese hospitals.

View / Download PDF
Citation: Adriana Rodrigues, Letícia Conceição, Lino Mendes, et al. The Influence of Perioperative Nutrition on the Success of the ERAS® Methodology in Patients Undergoing Elective Colorectal Surgery. Arch Metabolic Synd. 2026; 6(1). DOI: 10.33425/2771-8972.1017
Editor-in-Chief
Rafat Siddiqui
Rafat Siddiqui
Food and Nutrition Science | Virginia State University

View full editorial board →
Journal Metrics
Impact Factor 1.8*
Acceptance Rate 78%
Time to first decision 6-10 Days
Submission to acceptance 12-15 Days