Fast-tracking en postopératoire : chasse aux sondes, marche et alimentation précoce

Postoperative period can be subjected to many barriers against the implementation of enhanced recovery programmes after surgery. The aim of this review was to determine the evidence base of the role of routine tubes and drains after digestive surgery, and the feasibility of early eating and enforced mobilization. It is now proven with a high level of evidence that nasogastric tubes and urinary catheters are not useful and even deleterious in most digestive surgical procedures. Early eating is feasible and safe in most situations. The rare exceptions to these statements are detailed in the article. Enforced mobilization is feasible but needs the actual implementation of the other elements such as the patient counseling and the management of pain.