A retrospective study on efficacy of the ERAS protocol in patients undergoing surgery for Crohn disease: A propensity score analysis
| Autor: | Francesca Menonna, Rodolfo Rocca, Valentina Gentile, Paola Germani, Alessandro Ferrero, Paolo Massucco, Michela Mineccia |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer Disease Eating 03 medical and health sciences 0302 clinical medicine Clinical Protocols Crohn Disease medicine Humans In patient Postoperative Period Propensity Score Laparoscopy Colectomy Retrospective Studies Hepatology medicine.diagnostic_test business.industry Gastroenterology Retrospective cohort study Recovery of Function Perioperative Length of Stay Middle Aged medicine.disease Surgery Logistic Models 030220 oncology & carcinogenesis Propensity score matching Female 030211 gastroenterology & hepatology Enhanced Recovery After Surgery business Body mass index |
| Zdroj: | Digestive and Liver Disease. 52:625-629 |
| ISSN: | 1590-8658 |
| DOI: | 10.1016/j.dld.2020.01.006 |
| Popis: | Enhanced Recovery After Surgery (ERAS) offers many benefits for patients with colorectal cancer. However, its application to patients with Crohn's disease (CD) is questioned.The aim of this propensity-matched study was to validate the results of ERAS protocol on CD patients.Patients undergoing ileocolic resection for primary or relapsed CD from 2007 to 2018 were retrospectively analyzed and propensity-matched into two equal groups (ERAS vs standard of care). Demographic characteristics, length of stay, bowel function, oral intake, and perioperative morbidity were analyzed.Ninety four out of 299 patients were selected for analysis. No significant difference was observed for age, gender, American Society of Anesthesiologists score, body mass index, previous surgery and therapy, operative time and laparoscopy. The median length of stay in ERAS and non-ERAS groups was 6 and 8 days (p 0.001). Median postoperative days of first bowel movement and solid oral intake were day 1 and day 2 p 0,001, and day 2 and day 4.5 p 0,001 in ERAS and non-ERAS group, respectively. No statistically differences in other postoperative outcomes were shown.ERAS implementation showed decreased length of stay, faster bowel function restoration and earlier solid oral intake in patients who underwent laparoscopic or open ileocolic resection for primary or relapsing CD. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect