Title

Enhanced recovery after surgery for inflammatory bowel disease surgery: A systematic review

Authors

Naveenkumar Viswanathan^1,*, Kasturi Rangan Sarathy², Vimalraj Samikannu³, Shreeshail Dayanand⁴ & Naveen Kumar Chandrasekaran⁵

Affiliation

¹Department of General Surgery, Prince Charles Hospital, Cwm Taf Morgannwg University Health Board, United Kingdom; ²Department OF General Surgery, Royal Cornwall Hospital NHS Trust, Truro, Cornwall, United Kingdom; ³Department of General and GI Surgery, PSGIMSR, Coimbatore, Tamil Nadu, India; ⁴Department of General Surgery, Karpagam Faculty of Medical Sciences and Research, Ottakkalmandapam, Tamil Nadu, India; ⁵Department of GI Surgery, GEM Hospital, Coimbatore, Tamil Nadu, India; *Corresponding author

Email

Naveenkumar Viswanathan - E-mail: drnaveenviswanath@gmail.com; Phone: 07776698897
Kasturi Ragan Sarathy - E-mail: kasturi.sarathy@nhs.net; Phone: 07424338350
Vimalraj Samikannu - E-mail: vimal_00@yahoo.com; Phone: 919894263614
Shreeshail Dayanand - E-mail: shreeshaildaya@gmail.com; Phone: +918148445356, +447468322611
Naveen Kumar Chandrasekaran - E-mail: navash001@gmail.com; Phone: +91 9884587578

Article Type

Review

Date

Received October 1, 2025; Revised October 31, 2025; Accepted October 31, 2025, Published October 31, 2025

Abstract

Enhanced Recovery after Surgery (ERAS) protocols, though well-established across surgical disciplines, remain underutilized in inflammatory bowel disease (IBD) surgeries due to complexities like malnutrition and immunosuppression. This systematic review evaluated 13 studies involving 3,539 patients to assess the impact of ERAS implementation in IBD surgery. Data consistently showed that ERAS protocols reduced hospital stay, expedited bowel function return and decreased complications and readmissions compared to conventional care. Key components included nutritional optimization, laparoscopic techniques, early feeding and multimodal analgesia. Despite variability in adherence, the evidence supports integrating ERAS into IBD surgical management while advocating for further standardized research.

Keywords

Enhanced Recovery after surgery, ERAS, inflammatory bowel disease, crohn's disease, ulcerative colitis, IBD surgery, perioperative care

Citation

Viswanathan et al. Bioinformation 21(10): 3621-3627 (2025)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.