Comment on klek et al. Enhanced recovery after surgery (eras) protocol is a safe and effective approach in patients with gastrointestinal fistulas undergoing reconstruction: results from a prospective study. nutrients 2021, 13, 1953

We read and appreciated the prospective study by Klek et al. [1] recently published in Nutrients: an ERAS (Enhanced Recovery After Surgery) protocol was used by the authors to reduce post-operative complications in all subjects scheduled for surgery due to enterocutaneous fistulas, collecting a consecutive series of 100 patients between 2011 and 2020. The ERAS protocol was successfully applied even though few modifications of the original plan were introduced in 2015, dividing the patients in two groups (2011–2015 and 2016–2020): a statistically significant improvement of surgical outcomes was shown by the authors, reporting a reduction of postoperative nausea and vomiting, overall complication rate, and median length of hospital stay (overall and after surgery).