Comparison of outcome after right colectomy with an enhanced recovery programme in patients with inflammatory bowel disease and patients operated on for other conditions: a monocentric retrospective study

MEUNIER, Anne; SORCE, Giuseppe; HARDY, Pierre-Yves; COIMBRA MARQUES, Carla; DECKER, Emmanuel; JORIS, Jean

doi:10.1007/s00384-020-03830-5

Article (Scientific journals)

Comparison of outcome after right colectomy with an enhanced recovery programme in patients with inflammatory bowel disease and patients operated on for other conditions: a monocentric retrospective study

MEUNIER, Anne; SORCE, Giuseppe; HARDY, Pierre-Yves et al.

2021 • In International Journal of Colorectal Disease

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/257231

DOI
10.1007/s00384-020-03830-5

PubMed
33423143

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Keywords :

Surgery; Right colectomy; Enhanced recovery programme; postoperative outcome; inflammatory bowel disease

Abstract :

[en] Purpose Enhanced recovery programmes (ERPs) after surgery reduce postoperative complications and hospital stay. Patients with inflammatory bowel disease (IBD) often present risk factors for postoperative complications. This accounts for reluctance to include them in ERPs. We compared outcome after right colectomy with an ERP in IBD and non-IBD patients. Methods In our GRACE colorectal surgery database comprising 508 patients, we analysed patients scheduled for right colectomy (n = 160). Adherence to the protocol, postoperative complications and length of hospital stay of IBD patients (n = 45) were compared with those of non-IBD patients (n = 115). Data (mean ± SD, median [IQR], count (%)) were compared by Student’s t, Mann-Whitney U and chi-square tests when appropriate; p < 0.05 taken as statistically significant. Results IBD patients were significantly younger (38.9 ± 13.8 vs. 58.9 ± 18.5 years, p < 0.001) and had lower BMI (23.0 ± 5.0 vs. 25.1 ± 5.0 kg m−2, p < 0.01). Adherence to ERP was similar in the two groups. Resumption of eating on the day of the operation was less well tolerated (73.3% vs. 85.2%, p < 0.05) and postoperative pain (p < 0.001) was greater in IBD patients. The incidence of postoperative complications (13.3% vs. 17.3%) and the length of hospital stay (3 [3–4.5] vs. 3 [2–5] days) were comparable in IBD and non-IBD patients, respectively. Conclusion The management of IBD patients in an ERP is not only feasible but also indicated. These patients benefit as much from ERP as non-IBD patients.

Disciplines :

Anesthesia & intensive care

Author, co-author :

MEUNIER, Anne ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation

SORCE, Giuseppe ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation

HARDY, Pierre-Yves ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation

COIMBRA MARQUES, Carla ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation

DECKER, Emmanuel ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation

JORIS, Jean ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation

Language :

English

Title :

Publication date :

21 January 2021

Journal title :

International Journal of Colorectal Disease

ISSN :

0179-1958

eISSN :

1432-1262

Publisher :

Springer, Germany

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 22 February 2021

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