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- 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.
- Authors
Meunier, Anne; Sorce, Giuseppe; Hardy, Pierre-Yves; Coimbra, Carla; Decker, Emmanuel; Joris, Jean
- Abstract
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.
- Subjects
INFLAMMATORY bowel diseases; COLECTOMY; PREOPERATIVE risk factors; MANN Whitney U Test; LENGTH of stay in hospitals; SURGICAL complications
- Publication
International Journal of Colorectal Disease, 2021, Vol 36, Issue 4, p757
- ISSN
0179-1958
- Publication type
Article
- DOI
10.1007/s00384-020-03830-5