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
[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 :
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
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