Article

["Fast-track" rehabilitation to enhance recovery after ileostomy closure--a prospective clinical trial].

Universitätsklinik für Allgemein-, Viszeral-, Gefäss- und Thoraxchirurgie, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin.
Zentralblatt für Chirurgie (impact factor: 1.02). 11/2008; 133(5):486-90. DOI:10.1055/s-2008-1076974
Source: PubMed

ABSTRACT After colorectal resections, concepts for early recovery (ERAS or fast-track) could reduce the length of the hospital stay. Whether or not such a multimodal treatment can shorten the hospitalisation after loop ileostomy closure was investigated in the present study.
All patients admitted for elective closure of a loop ileostomy were prospectively investigated. The first group (n = 20) was postoperatively treated in a conventional manner. In the other group (n = 20), a concept for "fast-track" rehabilitation including early oral feeding, early mobilisation and abandonment of opioid analgesia was used.
Oral feeding with liquids and solid food was tolerated in the "fast-track" group earlier than after conventional treatment. There was no increase in the incidence of postoperative complications. Patients of the "fast-track" group could be discharged 3 days earlier on average (p = 0,01).
"Fast-track" rehabilitation can shorten the length of hospitalisation after elective ileostomy closure.

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Keywords

3 days
 
abandonment
 
colorectal resections
 
concepts
 
conventional manner
 
conventional treatment
 
elective closure
 
elective ileostomy closure
 
fast-track
 
first group
 
liquids
 
loop ileostomy
 
loop ileostomy closure
 
multimodal treatment
 
opioid analgesia
 
Oral
 
rehabilitation
 
solid food