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Gastrointestinal Complications in Patients Who Undergo Radical Cystectomy with Enhanced Recovery Protocol

  • Urothelial Cancer (A Sagalowsky, Section Editor)
  • Published:
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Abstract

Gastrointestinal (GI) complications are among the most common complications following radical cystectomy and urinary diversion. The most common is postoperative ileus, although its precise pathophysiology is not completely understood. Enhanced recovery after surgery (ERAS) protocols include evidence-based steps to optimize postoperative recovery and shorten hospital stay, mainly through expedited GI function recovery. They include avoiding bowel preparation and postoperative nasogastric tube, early feeding, non-narcotic pain management, and the use of cholinergic and mu-receptor opioid antagonists. We reviewed the literature in regard to GI complications using enhanced recovery protocols and share our institutional experience with over 300 patients.

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Authors and Affiliations

  1. Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, 1441 Eastlake Avenue, Suite 7416, 90089, Los Angeles, CA, USA

    Hooman Djaladat & Siamak Daneshmand

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  1. Hooman Djaladat
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  2. Siamak Daneshmand
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Correspondence to Siamak Daneshmand.

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Hooman Djaladat and Siamak Daneshmand each declare no potential conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Urothelial Cancer

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Djaladat, H., Daneshmand, S. Gastrointestinal Complications in Patients Who Undergo Radical Cystectomy with Enhanced Recovery Protocol. Curr Urol Rep 17, 50 (2016). https://doi.org/10.1007/s11934-016-0607-1

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  • DOI: https://doi.org/10.1007/s11934-016-0607-1

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