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The Use of Enhanced Recovery Pathways in Patients Undergoing Surgery for Inflammatory Bowel Disease

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Mastery of IBD Surgery

Abstract

The use of enhanced recovery protocols is now accepted as standard of care for patients with benign or malignant conditions undergoing colorectal surgery. This chapter describes evidence supporting the use of enhanced recovery pathways for patients with inflammatory bowel disease undergoing colorectal surgery.

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References

  1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997;78:606–17.

    Article  CAS  Google Scholar 

  2. Spanjersberg WR, Reurings J, Keus F, van Laarhoven CJHM. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011;2:CD007635.

    Google Scholar 

  3. Thiele RH, Rea KM, Turrentine FE, Friel CM, Hassinger TE, Boudreau BJ, Umapathi BA, Kron IL, Sawyer RG, Hedrick TL, McMurry TL. Standardization of care: impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. J Am Coll Surg. 2015;220(4):430–43.

    Article  Google Scholar 

  4. Cakir H, van Stijn MFM, Lopes Cardozo AMF, Langenhorst BLAM, Schreurs WH, et al. Adherence to enhanced recovery after surgery and length of stay after colonic resection. Colorectal Dis. 2013;15:1019–25.

    Article  CAS  Google Scholar 

  5. Pache B, Hubner M, Jurt J, Demartines N, Grass F. Minimally invasive surgery and enhanced recovery after surgery: the ideal combination? J Surg Oncol. 2017;116:613–6.

    Article  Google Scholar 

  6. Spanjersberg WR, van Sambeeck JDP, Bremers A, Rosman C, van Laarhoven CJHM. Systematic review and meta-analysis for laparoscopic versus open colon surgery with or without an ERAS programme. Surg Endosc. 2015;29:3443–53.

    Article  CAS  Google Scholar 

  7. Vlug MS, Wind J, Hollman MW, Ubbink DT, Cense HA, Engel AF, Gerhards MF, van Wagensveld BA, van der Zaag ES, van Geloven AAW, Sprangers MAG, Cuesta MA, Bemelman WA. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA study). Ann Surg. 2011;254(6):868–75.

    Article  Google Scholar 

  8. Dasari BV, McKay D, Gardiner K. Laparoscopic versus open surgery for small bowel Crohn’s disease. Cochrane Database Syst Rev. 2011;1:CD006956.

    Google Scholar 

  9. Patel SV, Patel SVB, Ramagopalan SV, Ott MC. Laparoscopic surgery for Crohn’s disease: a meta-analysis of perioperative complications and long term outcomes compared with open surgery. BMC Surg. 2013;13:14.

    Article  Google Scholar 

  10. Rosman AS, Melis M, Fichera A. Metaanalysis of trials comparing laparoscopic and open surgery for Crohn’s disease. Surg Endosc. 2005;19(12):1549–55.

    Article  CAS  Google Scholar 

  11. Tan JJY, Tjandra JJ. Laparoscopic surgery for Crohn’s disease: a meta-analysis. Dis Colon Rectum. 2007;50(5):576–85.

    Article  Google Scholar 

  12. Tilney HS, Constantinides VA, Heriot AG, Nicolaou M, Athanasiou T, Ziprin P, et al. Comparison of laparoscopic and open ileocecal resection for Crohn’s disease: a metaanalysis. Surg Endosc. 2006;20(7):1036–44.

    Article  CAS  Google Scholar 

  13. Andersen J, Kehlet H. Fast track open ileo-colic resection for Crohn’s disease. Colorectal Dis. 2005;7:394–7.

    Article  CAS  Google Scholar 

  14. Dai X, Ge X, Yang J, Zhang T, Xie T, Gao W, Gong J, Zhu W. Increased incidence of prolonged ileus after colectomy for inflammatory bowel diseases under ERAS protocol: a cohort analysis. J Surg Res. 2017;212:86–93.

    Article  Google Scholar 

  15. Delaney CP, Brady K, Woconish D, Parmar SP, Champagne BJ. Towards optimizing perioperative colorectal care: outcomes for 1,000 consecutive laparoscopic colon procedures using enhanced recovery pathways. Am J Surg. 2012;203:353–6.

    Article  Google Scholar 

  16. Olivares MC, Martinez ML, Torralba M, Fraile JRR, Martinez JCA. C-reactive protein as a marker of the surgical stress reduction within an ERAS protocol (Enhanced Recovery After Surgery) in colorectal surgery: a prospective cohort study. J Surg Oncol. 2018;117:717–24.

    Article  Google Scholar 

  17. Shah PM, Johnston L, Sarosiek B, Harrigan A, Friel CM, Thiele RH, Hedrick TL. Reducing readmission while shortening length of stay: the positive impact of an enhanced recovery protocol in colorectal surgery. Dis Colon Rectum. 2017;60:219–27.

    Article  Google Scholar 

  18. Spinelli A, Bazzi P, Sacchi M, Danese S, Fiorino G, Malesci A, Gentilini L, Poggioli G, Montorsi M. Short-term outcomes of laparoscopy combined with enhanced recovery pathway after ileocecal resection for Crohn’s disease: a case-matched analysis. J Gastrointest Surg. 2013;17:126–32.

    Article  Google Scholar 

  19. Delaney CP, Zutshi M, Senagore AJ, Remzi FH, Hammel J, Fazio VW. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon Rectum. 2003;46:851–9.

    Article  Google Scholar 

  20. Keane C, Savage S, McFarlane K, Seigne R, Robertson G, Eglinton T. Enhanced recovery after surgery versus conventional care in colonic and rectal surgery. ANZ J Surg. 2012;82:697–703.

    Article  Google Scholar 

  21. Lee L, Mata J, Ghitulescu GA, Boutros M, Charlebois P, Stein B, Liberman AS, Fried GM, Morin N, Carli F, Latimer E, Feldman LS. Cost-effectiveness of enhanced recovery versus conventional perioperative management for colorectal surgery. Ann Surg. 2015;262(6):1026–33.

    Article  Google Scholar 

  22. Lovely JK, Maxon PM, Jacob AK, Cima RR, Horlocker TT, Hebl JR, Harmsen WS, Huebner M, Larson DW. Case-matched series of enhanced recovery versus standard recovery pathways in minimally invasive colorectal surgery. Br J Surg. 2012;99:120–6.

    Article  CAS  Google Scholar 

  23. Serclová Z, Dytrych P, Marvan J, Nová K, Hankeová Z, Ryska O, Slégrová Z, Buresová L, Trávníková L, Antos F. Fast-track in open intestinal surgery: prospective randomized study (Clinical trial gov identifier no. NCT00123456). Clin Nutr. 2009;28(6):618–24.

    Article  Google Scholar 

  24. Teeuwen PHE, Bleichrodt RP, Strik C, Groenewoud JJM, Brinkert W, van Laarhoven CJHM, Bremers AJA. Enhanced recovery after surgery (ERAS) versus conventional postoperative care in colorectal surgery. J Gastrointest Surg. 2010;14:88–95.

    Article  Google Scholar 

  25. Maessen J, Dejong CH, Hausel J, Nygren J, Lassen K, Andersen J, Kessels AG, Revhaug A, Kehlet H, Ljunggvist O, Fearon KC, von Meyenfeldt MF. A protocol is not enough to implement an enhanced recovery programme for colorectal resection. Br J Surg. 2007;94(2):224–31.

    Article  CAS  Google Scholar 

  26. Anjum N, Ren J, Wang G, Li G, Wu X, Dong H, Wu Q, Li J. A randomized control trial of preoperative oral antibiotics as adjunt therapy to systemic antibiotics for preventing surgical site infection in clean contaminate, contaminated, and dirty type of colorectal surgeries. Dis Colon Rectum. 2017;60(12):1291–8.

    Article  Google Scholar 

  27. Eto K, Kondo I, Kosuge M, Ohkuma M, Haruki K, Neki K, Sugano H, Hashizume R, Yanaga K. Enhanced recovery after surgery programs for laparoscopic colorectal resection may not need thoracic epidural analgesia. Anticancer Res. 2017;37:1359–64.

    Article  Google Scholar 

  28. Teixeira MB, van Loon Y, Wasowicz DK, Langenhoff BS, van Leperen RP, Zimmerman DDE. Use of epidural analgesia in sigmoidectomy: is there any advantage in the era of minimally invasive surgery? J Gastrointest Surg. 2018;22(10):1779–84.

    Article  Google Scholar 

  29. de Campos Lobato LF, Ferreira PCA, Wich EC, Kiran RP, Remzi FH, Kalady MF, Vogel JD. Risk factors for prolonged length of stay after colorectal surgery. J Coloproctol. 2013;33(1):22–7.

    Article  Google Scholar 

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Correspondence to Lisa Marie Cannon .

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Cannon, L.M. (2019). The Use of Enhanced Recovery Pathways in Patients Undergoing Surgery for Inflammatory Bowel Disease. In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_4

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  • DOI: https://doi.org/10.1007/978-3-030-16755-4_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16754-7

  • Online ISBN: 978-3-030-16755-4

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