Mechanical bowel obstruction is a common symptom for admission to emergency services, diagnosed annually in more than 300,000 patients in the States, from whom 51% will undergo emergency laparotomy. This condition is associated with serious morbidity and mortality, but it also causes a high financial burden due to long hospital stay. The EUPEMEN project aims to incorporate the expertise and clinical experience of national clinical specialists into development of perioperative rehabilitation protocols. Providing special recommendations for all aspects of patient perioperative care and the participation of diverse specialists, the EUPEMEN protocol for bowel obstruction, as presented in the current paper, aims to provide faster postoperative recovery and reduce length of hospital stay, postoperative morbidity and mortality rate.

4th Department of Surgery Medical School Faculty of Health Sciences Aristotle University of Thessaloniki General Hospital George Papanikolaou 57010 Thessaloniki Greece

Department of Anesthesia Resuscitation and Pain Therapy Miguel Servet University Hospital 50009 Zaragoza Spain

Department of Surgery 2nd Faculty of Medicine Charles University and Motol University Hospital 150 06 Prague Czech Republic

Department of Surgery Azienda Unità Sanitaria Locale Ferrara University of Ferrara 44121 Ferrara Italy

Department of Surgery Faculty of Medicine University of Zaragoza 50009 Zaragoza Spain

Department of Surgery Universidad Miguel Hernández Elche Hospital General Universitario Elche 03203 Elche Spain

Department of Surgery University Hospital Kralovske Vinohrady 100 34 Prague Czech Republic

Grupo Español de Rehabilitación Multimodal 50009 Zaragoza Spain

Institute for Health Research Aragón 50009 Zaragoza Spain

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Improving Perioperative Care in Gastric Surgery: Insights from the EUropean PErioperative MEdical Networking (EUPEMEN) Project

The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Acute Appendicitis: Recommendations for Perioperative Care